BACKGROUND: Cardiac arrests in hospital areas are common, and hospitals have rapid response teams or "blue code teams" to reduce preventable in-hospital deaths. Education about the rapid response team has be...BACKGROUND: Cardiac arrests in hospital areas are common, and hospitals have rapid response teams or "blue code teams" to reduce preventable in-hospital deaths. Education about the rapid response team has been provided in all hospitals in Turkey, but true "blue code" activation is rare, and it is abused by medical personnel in practice. This study aimed to determine the cases of wrong blue codes and reasons of misuse.METHODS: This retrospective study analyzed the blue code reports issued by our hospital between January 1 and June 1 2012. A total of 89 "blue code" activations were recorded in 5 months. A "blue code" was defined as any patient with an unexpected cardiac or respiratory arrest requiring resuscitation and activation of a hospital alert. Adherence to this definition, each physician classified their collected activation forms as either a true or a wrong code. Then, patient data entered a database(Microsoft Excel 2007 software) which was pooled for analysis. The data were analyzed by using frequencies and the Chi-square test on SPSSv16.0.RESULTS: The patients were diagnosed with cardiopulmonary arrest(8), change in mental status(18), presyncope(11), chest pain(12), conversive disorder(18), and worry of the staff for the patient(22). Code activation was done by physicians in 76% of the patients; the most common reason for blue code was concern of staff for the patient.CONCLUSION: The findings of this study show that more research is needed to establish the overall effectiveness and optimal implementation of blue code teams.展开更多
Objective:To investigate the code blue application at a training and research hospital in Turkey.Methods:The code blue declaration forms and the hospital database with 238 complete records between January 2016 and Jul...Objective:To investigate the code blue application at a training and research hospital in Turkey.Methods:The code blue declaration forms and the hospital database with 238 complete records between January 2016 and July 2017 were collected.The form involved individual characteristics,the reason for issuing the code blue call,the unit and block where the code was given,time and location related properties such as working time and arrival duration,properties regarding the intervention process such as its type,duration or result.The 24-hour and 30-day long survival data of the patients to whom cardiopulmonary resuscitation was implemented were obtained from the hospital database,or from their relatives.The influencing factors of arrival duration were analyzed.Results:The median duration of arrival was 2.14(2.00-3.02)min.Code blue applications were performed more frequently in Departments of General Surgery,Internal Medicine,Orthopaedics,and Cardiology Clinics.Half of the code blue calls were due to cardiac arrest;the other half was due to shortness of breath or respiratory distress,syncope,and respiratory arrest.Three-out-of four code blue calls were treated with orotracheal intubation and cardiopulmonary resuscitation,or only orotracheal intubation or only medical treatment;one-fourth of the calls were not intervened.Altogether,72.36%of the code blue calls patients were intervened;69.35%of them were made both orotracheal intubation and cardiopulmonary resuscitation,and 20.5%of them were made only orotracheal intubation and 10.55%of them made only medical treatment.It was found that giving the code blue day or night had no effect on the time to reach the area where the code was given.Similarly,it was found that giving the code blue within daytime or night shift had no effect on the time to reach the area where the code was given.(P>0.05).The survival rates were 39.1%within the first 24 h and 18.1%within the first 30 d.Conclusions:Applications of code blue should be analyzed at regular intervals as clinical quality indicators.Reasons for wrong calls should be determined.The duration of reaching locations where calls are made should also be decreased.展开更多
BACKGROUND: True alarm rate of the Code Blue cases is at a low level in the Dr. Beh?et Uz Children's Hospital in ?zmir. This study aims to analyse the use of the Code Blue alarm cases in the children's hospita...BACKGROUND: True alarm rate of the Code Blue cases is at a low level in the Dr. Beh?et Uz Children's Hospital in ?zmir. This study aims to analyse the use of the Code Blue alarm cases in the children's hospital.METHODS: This retrospective clinical study evaluated the age and the gender of the cases, the arriving time of the Code Blue team, the date and time of the Code Blue Call, the reasons of the Code Blue Call, and the verifi cation which were all obtained from the Code Blue forms of the hospital dated between January 2014 and January 2015. The data of 139 Code Blue cases' forms were investigated and was divided into two groups: before and after the education containing 88 and 51 cases, respectively.RESULTS: Conversive disorder(26% to 13%, P<0.01), syncope(21.5% to 19.6%, P<0.01), convulsion(17% to 13.7%, P<0.01), hypoglycemia(4.5% to 3.9%, P<0.01), anxiety(4.5% to 1.9%, P<0.01), head trauma due to syncope(4.5% to 0%), cardiac arrest(1.1% to 0%), respiratory difficulties(2.2% to 1.9%, P<0.01), suspicion of myocardial infarction(2.2% to 1.9%, P<0.01), fall from stairs(2.2% to 0%) and agitation cases(1.1% to 0%) were reduced, however, the hypertension cases were dramatically increased(3.4% to 29.4%, P<0.01) owing to the hospital staff's education. The Pearson's correlation coeffi cient before and after education was 0.837. About 97.8% of the Code Blue cases were false calls with female greater than male(P<0.01).CONCLUSION: The results of this study show that more education is required for the hospital's staff and a new color code that is to say pre-diagnosis team should be formed.展开更多
2007年3～12月,对四川竹巴笼自然保护区的矮岩羊(Pseudois schaeferi)进行了行为谱工作的研究,建立了矮岩羊行为谱及其PAE(posture,act and environment)编码系统。研究分辨和记录了矮岩羊的11种姿势,83种动作和118种行为,还区别了各种...2007年3～12月,对四川竹巴笼自然保护区的矮岩羊(Pseudois schaeferi)进行了行为谱工作的研究,建立了矮岩羊行为谱及其PAE(posture,act and environment)编码系统。研究分辨和记录了矮岩羊的11种姿势,83种动作和118种行为,还区别了各种行为在雄性、雌性和幼体之间的相对发生频次以及发生季节。展开更多
文摘BACKGROUND: Cardiac arrests in hospital areas are common, and hospitals have rapid response teams or "blue code teams" to reduce preventable in-hospital deaths. Education about the rapid response team has been provided in all hospitals in Turkey, but true "blue code" activation is rare, and it is abused by medical personnel in practice. This study aimed to determine the cases of wrong blue codes and reasons of misuse.METHODS: This retrospective study analyzed the blue code reports issued by our hospital between January 1 and June 1 2012. A total of 89 "blue code" activations were recorded in 5 months. A "blue code" was defined as any patient with an unexpected cardiac or respiratory arrest requiring resuscitation and activation of a hospital alert. Adherence to this definition, each physician classified their collected activation forms as either a true or a wrong code. Then, patient data entered a database(Microsoft Excel 2007 software) which was pooled for analysis. The data were analyzed by using frequencies and the Chi-square test on SPSSv16.0.RESULTS: The patients were diagnosed with cardiopulmonary arrest(8), change in mental status(18), presyncope(11), chest pain(12), conversive disorder(18), and worry of the staff for the patient(22). Code activation was done by physicians in 76% of the patients; the most common reason for blue code was concern of staff for the patient.CONCLUSION: The findings of this study show that more research is needed to establish the overall effectiveness and optimal implementation of blue code teams.
文摘Objective:To investigate the code blue application at a training and research hospital in Turkey.Methods:The code blue declaration forms and the hospital database with 238 complete records between January 2016 and July 2017 were collected.The form involved individual characteristics,the reason for issuing the code blue call,the unit and block where the code was given,time and location related properties such as working time and arrival duration,properties regarding the intervention process such as its type,duration or result.The 24-hour and 30-day long survival data of the patients to whom cardiopulmonary resuscitation was implemented were obtained from the hospital database,or from their relatives.The influencing factors of arrival duration were analyzed.Results:The median duration of arrival was 2.14(2.00-3.02)min.Code blue applications were performed more frequently in Departments of General Surgery,Internal Medicine,Orthopaedics,and Cardiology Clinics.Half of the code blue calls were due to cardiac arrest;the other half was due to shortness of breath or respiratory distress,syncope,and respiratory arrest.Three-out-of four code blue calls were treated with orotracheal intubation and cardiopulmonary resuscitation,or only orotracheal intubation or only medical treatment;one-fourth of the calls were not intervened.Altogether,72.36%of the code blue calls patients were intervened;69.35%of them were made both orotracheal intubation and cardiopulmonary resuscitation,and 20.5%of them were made only orotracheal intubation and 10.55%of them made only medical treatment.It was found that giving the code blue day or night had no effect on the time to reach the area where the code was given.Similarly,it was found that giving the code blue within daytime or night shift had no effect on the time to reach the area where the code was given.(P>0.05).The survival rates were 39.1%within the first 24 h and 18.1%within the first 30 d.Conclusions:Applications of code blue should be analyzed at regular intervals as clinical quality indicators.Reasons for wrong calls should be determined.The duration of reaching locations where calls are made should also be decreased.
文摘BACKGROUND: True alarm rate of the Code Blue cases is at a low level in the Dr. Beh?et Uz Children's Hospital in ?zmir. This study aims to analyse the use of the Code Blue alarm cases in the children's hospital.METHODS: This retrospective clinical study evaluated the age and the gender of the cases, the arriving time of the Code Blue team, the date and time of the Code Blue Call, the reasons of the Code Blue Call, and the verifi cation which were all obtained from the Code Blue forms of the hospital dated between January 2014 and January 2015. The data of 139 Code Blue cases' forms were investigated and was divided into two groups: before and after the education containing 88 and 51 cases, respectively.RESULTS: Conversive disorder(26% to 13%, P<0.01), syncope(21.5% to 19.6%, P<0.01), convulsion(17% to 13.7%, P<0.01), hypoglycemia(4.5% to 3.9%, P<0.01), anxiety(4.5% to 1.9%, P<0.01), head trauma due to syncope(4.5% to 0%), cardiac arrest(1.1% to 0%), respiratory difficulties(2.2% to 1.9%, P<0.01), suspicion of myocardial infarction(2.2% to 1.9%, P<0.01), fall from stairs(2.2% to 0%) and agitation cases(1.1% to 0%) were reduced, however, the hypertension cases were dramatically increased(3.4% to 29.4%, P<0.01) owing to the hospital staff's education. The Pearson's correlation coeffi cient before and after education was 0.837. About 97.8% of the Code Blue cases were false calls with female greater than male(P<0.01).CONCLUSION: The results of this study show that more education is required for the hospital's staff and a new color code that is to say pre-diagnosis team should be formed.
文摘2007年3～12月,对四川竹巴笼自然保护区的矮岩羊(Pseudois schaeferi)进行了行为谱工作的研究,建立了矮岩羊行为谱及其PAE(posture,act and environment)编码系统。研究分辨和记录了矮岩羊的11种姿势,83种动作和118种行为,还区别了各种行为在雄性、雌性和幼体之间的相对发生频次以及发生季节。
