Abstract
Blue code systems (BCS) are communication systems that ensure the most rapid and effective resuscitation when a patient is in respiratory or cardiac arrest. A hospital employee faced with the situation of a cardiopulmonary arrest (CPA) starts the system by dialing 6666 from any phone in the hospital. We created a five-person team that includes a doctor, nurse, anesthesia technician, stretcher officer and security guard. The purpose of this study is to share our experiences in initiating the use of the BCS in our hospital. In our hospital, the records of calls that were made by Callvision BCS were analyzed retrospectively from May 2010 to the end of January 2011. A total of 474 calls were made using the blue code system. Of those calls, 402 (84.5%) were determined to be inappropriate calls. The remaining 72 calls were responded to. Of the 72 patients who were treated, 21 were discharged after they were hospitalized in the service or intensive care unit, 45 cases resulted in exitus, and 5 cases were referred to the Ataturk University faculty of medicine. The BCS has achieved its goal. The discharge rate of 29.5% that we achieved is a successful result.
Highlights
The environment we live in can be decisive in terms of potential threats to life
The blue code, which has been developed to reduce the risk of health care fatalities, is equivalent to emergency health and rescue services in a hospital
The blue code is a warning system technology used for resuscitation, but personnel training and code procedures are important for those in charge of the blue code systems in the hospital
Summary
The environment we live in can be decisive in terms of potential threats to life. According to an article published in 2001 by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), “health care occupations rank third” in the rankings of the riskiest jobs on earth. The blue code, which has been developed to reduce the risk of health care fatalities, is equivalent to emergency health and rescue services in a hospital. Blue code systems are communication systems that ensure the most rapid and effective resuscitation of a patient in respiratory or cardiac arrest. The blue code is a warning system technology used for resuscitation, but personnel training and code procedures are important for those in charge of the blue code systems in the hospital. For blue code systems to function effectively and to “save lives”, when a blue code situation occurs in a hospital (due to a respiratory or cardiac arrest incident), personnel must identify the situation and call experts to the scene. The information about each blue code situation’s time, Received: April 29, 2013 / Accepted: July 1, 2013
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