Association between cardiopulmonary resuscitation audit results with in-situ simulation and in-hospital cardiac arrest outcomes and key performance indicators.

Although higher scores were also associated with better survival to hospital discharge and a decrease in time-to-first-epinephrine, most models for these outcomes failed to reach statistical significance.

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In fact, a decreasing trend of audit scores over the years was discordant with the observed annual trend of no change in ROSC or improvement in survival-to-hospital-discharge (data not shown), which may reflect an unstandardized evaluation tool and process as the discordance is contrary to expectation.

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