Design and Deployment of a Pediatric Cardiac Arrest Surveillance System Academic Article uri icon

abstract

  • Objective. We aimed to increase detection of pediatric cardiopulmonary resuscitation (CPR) events and collection of physiologic and performance data for use in quality improvement (QI) efforts. Materials and Methods. We developed a workflow-driven surveillance system that leveraged organizational information technology systems to trigger CPR detection and analysis processes. We characterized detection by notification source, type, location, and year, and compared it to previous methods of detection. Results. From 1/1/2013 through 12/31/2015, there were 2,986 unique notifications associated with 2,145 events, 317 requiring CPR. PICU and PEDS-ED accounted for 65% of CPR events, whereas floor care areas were responsible for only 3% of events. 100% of PEDS-OR and >70% of PICU CPR events would not have been included in QI efforts. Performance data from both defibrillator and bedside monitor increased annually. (2013: 1%; 2014: 18%; 2015: 27%). Discussion. After deployment of this system, detection has increased 9-fold and performance data collection increased annually. Had the system not been deployed, 100% of PEDS-OR and 5070% of PICU, NICU, and PEDS-ED events would have been missed. Conclusion. By leveraging hospital information technology and medical device data, identification of pediatric cardiac arrest with an associated increased capture in the proportion of objective performance data is possible.

published proceedings

  • Critical Care Research and Practice

author list (cited authors)

  • Duval-Arnould, J. M., Newton, H. M., McNamara, L., Engorn, B. M., Jones, K., Bernier, M., ... Hunt, E. A

complete list of authors

  • Duval-Arnould, Jordan Michel||Newton, Heather Marie||McNamara, Leann||Engorn, Branden Michael||Jones, Kareen||Bernier, Meghan||Dodge, Pamela||Salamone, Cheryl||Bhalala, Utpal||Jeffers, Justin M||Engineer, Lilly||Diener-West, Marie||Hunt, Elizabeth Anne

publication date

  • May 2018