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The Code Blue Experiences: Gains, Problems and Troubleshooting [Hasta Güvenliğinde Mavi Kod Uygulama Sonuçlarının Değerlendirilmesi]

Emin Murat, Selime Toprak, Derya Bugur Dogan, Fatma Mordogan.




Abstract

The code blue, which is a professional resuscitation team organization, has an important role for the survival of patients with respiratory or/and cardiac arrest in the hospitals. This study was respectively designed to evaluate the affectivity, safety, significance, benefits and outcomes of the code blue implementation in accordance with quality policy of our hospitals. All the code blue calls were respectively reviewed over the period of d 2010 to 2012 years in the Malatya State Hospital that has 800 general ward beds. Patients demographic variables, code blue call forms, registry documents, problems reports and solutions reports for these problems, experiences of the quality management meetings and the patient safety committee meetings reports were evaluated. Total of 180 patients (103 male and 77 female) were included into the study. The mean age of the patients was 72. The mean response time of code blue teams to the patient was 2.72 minutes. The most frequent call times for code blue was between 10-11 pm. After code blue calls, 53 % of the patients were dead, 19 % of them needed to advanced life support and 28 % were improved in general status. This study showed that implementing the code blue was associated with significant improvement in outcome for hospitalized patients, and it is an accurate and irrevocable standard method in terms of hospital quality, medical ethics, legal responsibility and patients’ safety.

Key words: Code blue, patient’s safety, quality






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