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Impact of implementing novel automated code blue activation system on in-hospital cardiac arrest: A single center

Faheem Ahmed Khan1, Ting Lyu1, Eng Kiang Lee1

  • 1Department of Intensive Care Medicine, Ng Teng Fong General Hospital, National University Health System (NUHS), 609606, Singapore.

Resuscitation
|November 1, 2020
PubMed

Insights

A new Automated Code Blue Alert and Activation (ACBAA) system shows a trend in reducing in-hospital cardiac arrests (IHCA). This digital healthcare solution is practical for implementation to decrease IHCA rates.

Area of Science:

  • Clinical Informatics
  • Critical Care Medicine
  • Health Services Research

Background:

  • Prompt identification and management of clinical deterioration are crucial for reducing in-hospital cardiac arrests (IHCA).
  • The study introduces a novel Automated Code Blue Alert and Activation (ACBAA) system implemented in March 2018.

Purpose of the Study:

  • To evaluate the impact of the ACBAA system on the incidence of IHCA.
  • To assess secondary outcomes including return of spontaneous circulation (ROSC) and survival to discharge after IHCA.

Main Methods:

  • A retrospective before-and-after study design was employed at JurongHealth Campus (JHC).
  • The ACBAA system automatically activates code blue alerts when pre-defined peri-arrest criteria are met.
  • Data on IHCA incidence, ROSC, and survival to discharge were compared between periods before and after ACBAA implementation.

Main Results:

  • The incidence of IHCA showed a 14.6% reduction after ACBAA implementation, though not statistically significant (RR: 0.86, P > 0.05).
  • A trend towards higher survival to home discharge after IHCA was observed in the post-ACBAA period (RR: 2.13, P > 0.05), with good neurological outcomes.

Conclusions:

  • The novel ACBAA system demonstrates a potential trend in reducing IHCA incidence.
  • The ACBAA system is a practical and advisable digital healthcare solution for reducing IHCA.
  • Further research is needed to refine the criteria for peri-arrest code blue activation.
Abstract

Keywords:
Automated code Blue alert and activation systemIn-hospital cardiac arrest

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