Establishing Quality Review of Cardiac and Respiratory Arrest in a Pediatric Intensive Care Unit

Jason M. Kane, Laurely S. Fusilero, Brian F. Joy, Eric Wald

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Cardiac arrest in children is a rare event; however, the outcomes following resuscitation are universally disappointing. Despite widespread recognition of its importance, there is no standard approach to conducting reviews surrounding critical resuscitation events. A standardized approach to the review of respiratory and cardiac arrests occurring in the pediatric intensive care unit focusing on processes of care and team performance was undertaken at a single pediatric academic medical center. Data collection and quality improvement tools were created, and a formal code review was established. Improvement in code team performance was observed. Clinician documentation improved, and multiple system redesigns were implemented that ultimately resulted in fewer clinician concerns. The rate of successful resuscitation was consistent with current published benchmarks. The development of an interdisciplinary code review process focusing on the procedure of resuscitation can identify critical issues that may impede successful resuscitation.

Original languageEnglish (US)
Pages (from-to)509-517
Number of pages9
JournalAmerican Journal of Medical Quality
Volume27
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

  • cardiopulmonary resuscitation
  • pediatric intensive care unit
  • pediatrics
  • quality assurance

ASJC Scopus subject areas

  • Health Policy

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