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Setup and Execution Of the Blindfolded Code Training Exercise

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A Daily Checklist Method Increases Documentation of Code Status in Trauma Patients.

Alexandria M Bontrager¹, Sarah J Ouadah¹, Malini Anand¹

¹Vanderbilt University School of Medicine, Nashville, TN, USA.

The American Surgeon

|March 30, 2024

Summary

Implementing a daily checklist significantly improved code status documentation (CSD) for trauma intensive care unit patients. This quality improvement initiative ensured more patients had their end-of-life care preferences documented, enhancing patient-centered care.

Keywords:

code status trauma process improvement trauma quality improvement

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Area of Science:

Medical Quality Improvement
Trauma Critical Care
Patient Decision-Making

Background:

Insufficient code status documentation (CSD) is a persistent challenge, particularly for trauma patients with unpredictable prognoses.
Previous interventions using reminder systems had limited success in increasing CSD.
Ensuring CSD allows patients to participate in critical care decisions.

Purpose of the Study:

To evaluate the effectiveness of a twice-daily checklist in improving CSD for trauma patients.
To determine if a checklist intervention could increase the rate and timeliness of code status documentation.

Main Methods:

A quality improvement study was conducted at a level I trauma center.
A pre-intervention (PRE) and post-intervention (POST) daily census compared CSD rates.
Key outcomes included percentage of patients with CSD, time-to-code status (TTCS), and patients discharged without code status (DNCS).

Main Results:

Daily CSD increased from 50.0% (PRE) to 64.4% (POST).
Time-to-code status documentation was reduced by half (25.30h PRE vs. 12.71h POST).
Overall CSD during hospitalization rose by 20%, and patients discharged without CSD decreased by 20%.

Conclusions:

A daily checklist integrated into trauma patient care effectively improves code status documentation.
Enhanced CSD facilitates patient-centered, goal-concordant care for trauma patients.
This intervention supports better end-of-life care planning in critical care settings.