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Low-dose high-frequency training

Improve confidence and competence

Lack of practice leads to skill deterioration

Research shows that healthcare providers’ skill retention declines as soon as three months after training. Most healthcare workers do not get the experience they need to maintain skills outside of infrequent training intervals.

In terms of CPR compliance regulations, healthcare institutions must ensure competence and adherence to protocol which is a time-consuming process of collating and confirming training documentation for reporting. In addition, loss of time on the job for training results in reduced patient care.

A little goes a long way

Low-dose high-frequency training is a competence-building approach that promotes maximum retention of clinical knowledge, skills, and attitudes. Low-dose high-frequency training is short, targeted in-service simulation-based learning activities which are spaced over time and reinforced with structured, ongoing practice sessions at the workplace.

Low-dose high-frequency training is not only effective for skill building, but also for continuous improvement and helps to maintain competence over time.

Big results

Low-dose high-frequency training is the foundation of the Resuscitation Quality Improvement (RQI) program.

Two years after the implementation of the RQI program at the Texas Health Resources hospital in Dallas, Texas, the hospital achieved almost full course completion for participants. They also were able to document a large cost savings resulting from less time used for off-site training. Most importantly, Texas Health showed a 21% increase in survival rates from cardiac arrest.


Course completion


Reduction in CPR training costs


Increase in survival rates

Cabrini Health of Australia rolled out the RQI program across their entire healthcare provider workforce. All staff completed training and the data showed the benefit of having the RQI system on the ward where training could occur 24/7 with training peaks around shift changes. With the implementation of RQI, Cabrini received a “Met with Merit” indication in their hospital accreditation.

Helping Babies Breathe

Training for emergencies during birth requires healthcare workers to perform at their best under pressure. Low-dose high-frequency training has been shown to prepare birth attendants for newborn resuscitation emergencies. Helping Babies Breathe (HBB) is a program designed to reduce neonatal mortality in low and middle income countries. HBB is an evidence-based hands-on program to teach the initial steps of resuscitation within the first minutes of life.

In a study in Tanzania, it was found that HBB improved performance in the delivery room when implemented in low-dose high-frequency training sessions. A one-time HBB course did not show improvement. However, when short, weekly training sessions were implemented on-site using HBB, the results showed a 47% percent reduction in birth asphyxia and 24% reduction in stillbirth. Similar results have been shown in Nepal.


Reduction in birth asphyxia after 1 day course


Reduction in birth asphyxia after LDHF weekly training


Stillborn reduction after LDHF weekly training

How Laerdal can help

Laerdal solutions are designed to help you integrate low-dose high-frequency training into your routines. Whether training CPR for 10 minutes every quarter to keep skills sharp or practicing newborn resuscitation techniques, low-dose high-frequency training enables you to maintain competence — and confidence.

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