Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 2
Rapid Response Team Performance In Third-Zone, In-Hospital Outdoor Code Blue Calls
Necati Salman1,Onur Tezel1,Yahya Ayhan Acar1,Yakup Arslan2
1Gulhane Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
2Etimesgut Sait Erturk Sincan State Hospital, Chest Diseases Hospital, Ankara, Turkey
DOI : 10.31067/0.2019.148 Objectives: We aimed to define the Code Blue interventional characteristics at our institution and to put forward a new parameter for the identification of teams" performance, and to discuss the differences between indoor and outdoor operations.

Material and Methods: Our study is a prospective observational survey over an 18-month period between February 1, 2014, and August 1, 2015. The dataset included the call date and the time, the call mode (by phone or bystander), the location, time to reach the location, patient"s name and ID number, diagnosis, and the result. Response time was recorded in seconds, and distance between the location and the Emergency Department ED was recorded in meters.

Results: During the 18-month study period, 55 code calls occurred. The patients were placed into three groups: policlinic admission patients (63.6%, n=35), inpatients (12.7%, n=7), and visitors and hospital personnel (23.6%, n=13). The mean distance of response points from the ED was 131.1 (37?174) meters and the mean response time was 102.4 (30?180) seconds. We detected a statistical difference in distance to ED (p=0.017) and reach time (p=0.013) parameters between indoor and outdoor cases.

Conclusions: Outdoor "in-hospital" Code Blue calls and emergency cases have distinct features, which should be further investigated apart from "out of hospital" cardiac arrest and "indoor in-hospital" cardiac arrest cases. The average response speed (distance to ED divided by response time) may be a suitable parameter for examining the performances of teams in addition to average response time. Keywords : Rapid response team, cardiopulmonary resuscitation, code blue