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. 2022 Dec;27(1):2106811.
doi: 10.1080/10872981.2022.2106811.

Pediatic code blue event anaylsis: Performance of non-acute health-care providers

Graham Chamberlain  1 , Ronish Gupta  2   3 , Anna-Theresa Lobos  4
Affiliations

Pediatic code blue event anaylsis: Performance of non-acute health-care providers

Graham Chamberlain et al. Med Educ Online. 2022 Dec.

Abstract

In-hospital pediatric cardiopulmonary arrest is rare. With more than 50% of patients not surviving to discharge following cardiopulmonary arrest, it is important that health-care providers (HCPs) respond appropriately to deteriorating patients. Our study evaluated the performance of basic life support skills using non-acute HCPs during pediatric inpatient resuscitation events. We conducted a retrospective chart review of all code blue team (CBT) activations in non-acute care areas of a tertiary care children's hospital from 2008 to 2017. The main outcomes were frequency of life support algorithmic assessments and interventions (critical actions) performed by non-acute HCPs prior to the arrival of CBT. CBT activation and outcome data were summarized descriptively. Logistic regression was used to assess for an association of outcomes with the presence of established leadership. A total of 60 CBT activations were retrieved, 48 of which had data available on isolated non-acute HCP performance. Most children (93%) survived to discharge. Critical action performance review revealed that an airway, breathing and pulse assessment was documented to have occurred in 33%, 69% and 29% of cases, respectively. A full primary assessment was documented in 6% of cases. The presence of established leadership was associated with the performance of a partial ABC assessment. Our results suggest that resuscitation performance of pediatric inpatient non-acute HCPs often does not adhere to standard life support guidelines. These results highlight the need to reconsider the current approaches used for non-acute HCP resuscitation training.

Keywords: In-Hospital arrest; Medical education; basic life support; cardiopulmonary arrest; critical care; hospital medicine; pediatrics; resuscitation.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Analysis of the association of the presence of documented leadership with critical action performance. a, Leadership and performance of critical assessments. b, Leadership and performance of critical interventions.
Figure 2.
Figure 2.
Comparison of documented critical action performance and perception of performance. Error bars indicated standard deviation.
See this image and copyright information in PMC

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