01 February 2019 5 9K Report

Here is a question for everyone that I am currently stumped on:

Is there some standardized metrics or quality targets for in-hospital cardiac arrests rates?

Its related to the work I am doing to implement CCOT at SPH. The CCOT literature uses a variety of measures and it gets a little confusing:

· Code blue (all types) per 1000 admissions or per 1000 discharges

· Cardiac Arrest (only code blue with CPR) per 1000 admissions or per 1000 discharges

· Code blue or Cardiac arrest excluding critical care areas (i.e., ED, ICU, CCU, CSICU, OR/PACU) per 1000 admissions or discharges

I looked through CIHI and it does not look like they have any stats on in-hospital cardiac arrest rates that I could find. We keep track of code blue data, but I don’t think it is reported to any external organizations. The UK and Australia have done rapid response systems for far longer, but I haven’t come across any official standardized metrics or definitions of what is considered good, bad or ugly in the way of targets.

Thoughts?

Thanks in advance for any assistance you can offer.

Vini

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