Yeni Bir Eğitim Hastanesinde Mavi Kod Sisteminin Etkinliği Ve Sonuçlarının Değerlendirilmesi

Year 2019, Volume: 11 Issue: 2, 105 - 112, 01.09.2019

Müge Arıkan , Alpay Ateş

Abstract

Amaç: Mavi kod çağrı
sistemi, kardiyak veya solunum arresti olan hastalar için mavi kod ekibini
uyarmak için kullanılır. Bu çalışmanın amacı mavi kod çağrılarının zamanını,
yerini ve sonuçlarını değerlendirmektir. Biz yanlış mavi kod çağrılarını ve
hastaların demografik özelliklerinide belirlemeyi amaçladık.

Gereç ve Yöntemler: Bu çalışmada, hastanemizde
Ocak 2017 ve Ocak 2018 tarihleri arasındaki mavi kod çağrı formlarını
retrospektif olarak taradık. Hastaların demografik verilerini, ekibin ulaşma
süresini, mavi kod çağrısının zamanını, yerini ve sonucunu, ve yanlış mavi kod
çağrı oranını kaydettik.

Bulgular: Çalışma
süresinde 225 mavi kod çağrısı vardı. Ortalama ulaşma süresi 1.97±0.72 dk idi.
Mavi kod çağrılarının çoğu Palyatif Bakım Ünitesinden verilmişti (76 hasta,
33.78%), bunu Dahiliye servisi (54 hasta, 24%), 
ve Göğüs servisi (36 hasta, 16%), 
izlemekte idi. Yanlış mavi kod oranı %13.33
olarak bulundu. Mavi kod çağrılarının çoğu mesai dışı saatlerde idi (140
çağrı, 62.22%). Yüz hastaölmüştü, 88 hastayoğun
bakım ünitesine alınmıştı ve 7 hastanın serviste takibine devam edilmişti.

Sonuç:
Mesai dışı saatlerde daha çok mavi kod çağrısı verilmesi ve özellikle bizim
hastanemiz gibi kırsal hastanelerde servislerde nöbetçi doktor bulunmaması bu
sistemin önemini tekrar vurgulamaktadır.

Keywords

Kardiyopulmoner Resüsitasyon, mavi kod, mortalite

The Evaluation of Effectivenessand Outcomes of Code Blue System in A New Tertiary Care Hospital

Abstract

The code blue call is used to alert the Code Blue
team for patients
with cardiac or respiratory arrest. The purpose
of this study is to evaluate the time, the locations, and the outcomes
of code blue calls. We also aimed to determine
the rate of false code blue calls, and demographic data of the patients.

Material and Methods: In
this study, we retrospectively scanned the code blue call forms in our hospital
between January
2017 and January 2018. The demographic data of the patients, the arrival time
of the team, the time, the locations, and the outcomes of the calls, and the rate of false code blue calls were recorded.

Results: We
had 225 code blue calls in the study period. The mean arrival time of the
team was1.97±0.72 min. Most of the code blue
calls were given in Palliative Care Unit (76 patients, 33.78%), followed
by Internal Medicine Services (54 patients, 24%), and Department of Pulmonary
Diseases (36 patients, 16%). The rate of false
code blue calls was found to be % 13.33. Most of the code blue calls
(140 calls, 62.22%) were during off times. A hundred  patients had died; 88 patients had been
admitted to the Intensive Care Unit; and 7 had been continued care in ward by a successful intervention.

Conclusion: Giving more blue
code calls during off-hours and the absence of night duty doctor at the
services, especially in rural hospitals like ours, emphasizes again the
importance of this system.  

Keywords

Cardiopulmonary resuscitation, code blue, mortality

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