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Design and Deployment of a Pediatric Cardiac Arrest Surveillance System

Jordan Michel Duval-Arnould1, Heather Marie Newton2, Leann McNamara3

  • 1Division of Health Sciences Informatics, Department of Anesthesiology and Critical Care Medicine, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA.

Critical Care Research and Practice
|June 2, 2018
PubMed

Insights

A new surveillance system significantly improved the detection of pediatric cardiopulmonary resuscitation (CPR) events. This system also enhanced the collection of vital performance data for quality improvement initiatives.

Area of Science:

  • Pediatric critical care medicine
  • Health informatics
  • Quality improvement science

Background:

  • Effective quality improvement (QI) for pediatric cardiopulmonary resuscitation (CPR) requires accurate event detection and comprehensive physiologic data.
  • Traditional methods often miss critical events, particularly outside of intensive care settings.

Purpose of the Study:

  • To enhance the detection of pediatric CPR events.
  • To improve the collection of physiologic and performance data for QI efforts.

Main Methods:

  • Developed a workflow-driven surveillance system integrating hospital IT systems for CPR event detection.
  • Analyzed detection data by notification source, type, location, and year.
  • Compared new detection rates with previous methods.

Main Results:

  • The system increased CPR event detection approximately ninefold.
  • Key areas like Pediatric Intensive Care Unit (PICU) and Pediatric Emergency Department (PEDS-ED) accounted for 65% of CPR events.
  • Performance data capture from defibrillators and bedside monitors increased annually from 1% in 2013 to 27% in 2015.

Conclusions:

  • The implemented system substantially improved pediatric CPR event identification and performance data capture.
  • Leveraging hospital IT and medical device data is crucial for identifying pediatric cardiac arrest events.
  • Without this system, a significant percentage of critical events in various pediatric units would have been missed.
Abstract

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