Codes in Wards

Definition & why we measure

A code blue is a situation that requires advanced life support including resuscitation or intubation of a patient in response to severe illness or sudden deterioration. Code blues are common in the emergency room and intensive care units. It is desired that, through ongoing care and monitoring, a patient receiving care within the hospital environment and outside the emergency room and intensive care unit will not “code” to require emergency resuscitation or intubation.

A lower rate of code blues is an indicator of the effectiveness of patient monitoring, timely interventions, and overall quality of care while a high number denotes the opposite. The overall desire is to have zero code blues outside the emergency room or ICU. The graph below indicates our performance over time.

What are we doing to improve?

We continuously review the effectiveness of patient assessment and monitoring to identify and respond to deterioration in health. Through a rigorous application of the paediatric early warning signs, ongoing review of patients’ response to treatment, and use of treatment protocols, appropriate care is determined and provided at every stage of the treatment journey. Moreover, 100% of nurses and doctors that work at Gertrude’s Children’s Hospital are trained and certified to provide emergency paediatric life support should the need arise.

Note: the lower the number the better the performance.

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