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Improving Code Team Performance and Survival Outcomes

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Lynda Knight (Stanford Univ)

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Improving Code Team Performance and Survival Outcomes

  1. 1. Improving Code Team Performance and Survival Outcomes: Implementation ofPediatric Composite Resuscitation Training Lynda Knight, RN,MSN, Julia Gabhart, MD, Lucile Packard Children’s Hospital at Stanford IMSH 2013: Orlando, Florida / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background• Implementation of Rapid Response Teams •  Cardiopulmonary arrests outside of the intensive care unit •  Resuscitation experience for code team members• Implementation of resuscitation training with simulation •  Quality of code team performance• Does simulation improve patient outcomes? International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. PICO Question• P: Hospital–wide interprofessional code team members• I: Composite Resuscitation Team Training• C: No clear content standard among all disciplines• O: Improvement in survival outcomes and code team performance International Network for Simulation-based Pediatric Innovation, Research and Education
  4. 4. Results: Survival to Discharge• Significant  in Survival to Discharge – uOR 2.3; 95% CI 1.15-4.60
  5. 5. Results: Neurologic Morbidity• No  in Neurologic Morbidity – Mean increase in PCPC: 0.11 vs 0.27; p=0.37
  6. 6. Results: Team Performance• Significant  in Adherence to AHA Gold Standards uOR 2.14; CI 1.15-3.99
  7. 7. How does an organization1. Obtain hospital-wide standards for resuscitation competencies?2. Obtain sustainability, resources, and funding for Composite Resuscitation Team Training?3. Obtain and sustain individualized process among divisions International Network for Simulation-based Pediatric Innovation, Research and Education
  8. 8. Contact InformationLynda Knight, RN, MSNLucile Packard Children’s Hospital at Stanfordlyknight@lpch.org International Network for Simulation-based Pediatric Innovation, Research and Education

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