Pediatric code events: does in-house intensivist coverage improve outcomes?*

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Christopher L CarrollAaron Zucker

Abstract

A change in our children's hospital coverage model to providing full-time in-house supervision by intensivists allowed us to evaluate the impact of this change on patient safety outcomes. Our aim was to determine whether in-house attending coverage influenced the prevalence and outcomes of pediatric code events. We conducted a retrospective review of all code events between October 2005 and October 2007 (before in-house intensivist supervision) and compared the prevalence, interventions, and outcomes of these codes with those occurring between April 2008 and April 2010 (after in-house intensivist supervision). A code event was defined as any activation of the code system. One hundred eighty-seven bed children's hospital. All children with code events. None. There were 99 codes during these two periods: 39 codes occurring prior to in-house intensivist coverage (of which eight on the ward and 31 in the ICU) and 60 occurring following in-house attending coverage (30 on the ward and 30 in the ICU). Survival was significantly improved following the implementation of in-house coverage (odds ratio, 4.3; 95% CI, 1.7-10.8; p = 0.003). There was no significant change in the overall rate of codes during these two periods (0.82 codes/1,000...Continue Reading

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Citations

Mar 13, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Anthony Y Lee, Richard J Brilli
Jun 11, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·David A SnowdonNicholas F Taylor
Jun 5, 2019·Critical Care Medicine·Robin V HorakUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigator’s (PALISI) Network
May 5, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ryan S Bode, Richard J Brilli

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