Received: 23 December 2020
Accepted: 4 April 2021
First Online: 21 April 2021
: This study was reviewed by the local research and innovation department and defined as a service evaluation and therefore did not require ethical review under UK research governance systems. Under UK research guidelines this service evaluation was sponsored by the local site of the primary investigators (RM and KK) and reviewed under each institution’s local governance arrangements. At active adopter sites, the use of the RQI program was a change in standard practice therefore informed consent was not required. Participants at the control site were provided with a participant information leaflet and gave informed consent.
: Not applicable.
: This work was in part funded Laerdal Medical. These funds covered the salary of study staff for time spent working on the study. NH is substantively employed by the British Heart Foundation.