A Multicenter Collaborative Approach to Reducing Pediatric Codes Outside the ICU

​Hayes LW, Dobyns EL, Digiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012 Mar;129(3):e785-e791. Epub 2012 Feb 20.


The Child Health Corporation of America formed a multicenter collaborative to decrease the rate of pediatric codes outside the ICU by 50 percent, double the days between these events, and improve patient safety culture scores. Although the code rate for the collaborative did not decrease significantly (3 percent decrease), 12 hospitals reported additional data after the collaborative and saw significant improvement in code rates (24 percent decrease), and patient safety culture scores improved by 4.5 percent to 8.5 percent. The authors conclude that the collaborative model can accelerate improvements achieved by individual institutions.


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