Table 3.

Core Themes Identified in Top-Performing Hospitals.

Theme	Characteristics
Engagement	Top-performing hospitals marketed their programs to increase awareness, used posters for visibility, prioritized efficiency while creating relevant immersive curriculum.
Consistency	Top-performing hospitals maintained frequent mock code sessions on regular intervals and standardize training of both instructors and learners.
Clear Communication	Top-performing hospitals emphasized the value and importance of resuscitation training as a continuation of job responsibilities, which improved culture change. Top-performing hospitals held prompt code committee review or leadership review, with quick turnaround in providing feedback to employees involved in real codes.
Responsive Leadership	Leaders physically rounded with employees to elicit feedback which was then promptly addressed. Small interactions such as these built substantial trust with nurses, physicians and other healthcare workers. Top-performing hospitals celebrated clinical diversity and integrated nurses, physicians, respiratory therapists and pharmacists on leadership teams.

IHCA = In-Hospital Cardiac Arrest