A Multisite Research and QI Collaboration
Acute pediatric resuscitations in the emergency department (ED) are dynamic, high-stakes events that are often chaotic and difficult to retrospectively analyze through traditional research methods. Such events are uniquely susceptible to biases inherent in self-report and chart review. The use of clinical videorecording as a means to gather data on critical procedures such as intubation, CPR, and trauma resuscitation has been demonstrated in multiple studies in pediatric emergency departments. Video review has numerous advantages for data collection during resuscitations, including the collection of accurate time-based data and other tasks that are underreported in written documentation. In 2013 we established the multicenter VIPER Collaborative to facilitate valid, adequately powered research on pediatric resuscitation in the ED. In the pediatric ED of each member hospital, video review is an established part of existing quality assurance/peer review, quality improvement, and clinical research activities.