COMPRESS INTERVENTION: QUALITY IMPROVEMENT IN CODE TEAM PERFORMANCE, EVALUATION, AND ASSESSMENT IN COMMUNITY HOSPITAL

Abstract

SESSION TITLE: Education, Research, and Quality Improvement Posters SESSION TYPE: Original Investigation Posters PRESENTED ON: October 18-21, 2020 PURPOSE: Code team is essential to respond to acute changes in patient clinical condition to prevent morbidity and mortality due to cardiopulmonary arrest. Effective code team is paramount especially in the community hospital as an effective team will save life efficiently and to reduce the morbidity and mortality. To achieve this, members of effective code team must be proficient in knowledge and skills and are effective in communication. To increase the overall performance and effectiveness of our hospital’s code team, we developed and implemented “COMPrESS” intervention, which stands for Code Team Member Performance Restructuring, Evaluation and Assessment METHODS: COMPRESS intervention is developed based on theory of planned behaviour and health belief model, which spanned over a 6-month period. In this intervention, various measures have been taken which include fixing a defined number of code team members, clearly identification of the roles of each member, evidence based knowledge assessments and education, initiation of training and education events (which includes Algorithm display, ACLS training and quarterly review lectures and exam) and surprise mock codes. To measure the effectiveness of the intervention, pre-intervention and post-intervention performances were collected by designated, unbiased and structured questionnaires. In addition, code team members knowledge and skills were also assessed by surprised multiple choice questions test and mock codes. Qualitative (NViVO analysis) and quantitative analysis (descriptive statistic, Fisher’s Exact test and Wilcoxan Sum Rank test) were used to identify the differences in the percentage of pre- and post-intervention survey. Post-intervention, there is significant improvements in the code team members knowledge and their confidence in the skills specific to their roles. In addition, there is small improvement seen in code team structure with regards to defined numbers of participant, clarity of the role and time to transport of the patient to next level of care. RESULTS: COMPrESS intervention improves code team members self-confidence, performance, knowledge and skills as well as to maintain team performance, confidence and cohesiveness, which enable the members to run the code in an organized, safe and effective manner. COMPrESS intervention has greatly improved several key areas that may impact the cohesiveness and functioning of the team. The improvement in the code team performance is beneficial not only to the team members but also able to reduce morbidity and mortality, improving patient’s quality of life as well as to reduce healthcare cost CONCLUSIONS: COMPrESS intervention that we developed may serves as a model for other community hospitals to improve their code team performance. CLINICAL IMPLICATIONS: Improvement in physician performance,quality of patient care, better patient outcomes and reduced health care cost with COMPress intervention. DISCLOSURES: No relevant relationships by Kok Hoe Chan, source=Web Response No relevant relationships by Battah Hamdi, source=Admin input No relevant relationships by Muhammad Hussain, source=Web Response No relevant relationships by Muqueet Kadri, source=Web Response No relevant relationships by Sudha Lagudu, source=Web Response No relevant relationships by Saraswathi Lakkasani, source=Web Response No relevant relationships by Ujjwala Murari, source=Web Response No relevant relationships by Bhavik Patel, source=Web Response No relevant relationships by Lakshmi Durga Sriramulu, source=Web Response No relevant relationships by Divya Mounisha Thimmareddygari, source=Web Response No relevant relationships by Radhika Vala, source=Web Response