Leadership Plan

Practice Plan

Technology Plan

Suggested practices and technologies are limited to those proven to show benefit or are the only known technologies with a particular capability. As other options may exist, please send information on any additional technologies, along with appropriate evidence, to info@patientsafetymovement.org.

Metrics

Topic 1

Arrest Incidence Rate

Incidence of patients suffering cardiopulmonary arrest (typically expressed per 1000 admissions)

Outcome Measure Formula

Numerator: Number of patients with an arrest (excluding non-admitted ED patients and arrests occurring in the OR) x 1000
Denominator: Number of admissions over the same time period

Metric Recommendations

Indirect Impact: All admitted patients
Direct Impact: All admitted patients
Lives Spared Harm:
\(\frac{Lives\ =\ \left(Arrest\ Incidence\ Rate_{baseline}\ -\ Arrest\ Incidence\ Rate_{measurement}\right)\ x\ Admissions_{baseline}}{1000}\)

Notes: 

An arrest is defined as the loss of vital signs requiring either CPR or defibrillation in a patient who is not “Do Not Attempt Resuscitation” at the time of the arrest. An arrest does not require Code Blue team activation. Patients surviving an initial resuscitation attempt but with a later change in code status should be included. Each patient should only be counted once per admission—even if multiple arrest events occur prior to discharge or death.

Data Collection: 

Electronic capture from electronic medical record and/or chart review.

Topic 2