An Honest-to-Goodness Alert Code System: A Prerequisite for an Effective Response to Surge of Patients Emergencies – AHMA Entry – Information Set 2

Project Title :

An Honest-to-Goodness Alert Code System: A Prerequisite for an Effective Response to Surge of Patients Emergencies

Date Project Started: 01/08/2012

2. Please describe how the project was beneficial from the patient’s perspective and experience, and how it improved patient care, patient safety or service. Preferably please present quantifiable information such as “before and after” measurements if any. MAX 200 WORDS.

The project’s goal was to develop an alert code system that is structured, simple yet comprehensive in ensuring full, effective alertness and readiness of ALL staff of OMSurg to respond to surge of patients.  Ultimately, the improved alert code system would redound to patients’ benefits in terms of quick and effective care directly resulting from timely availability of surgical manpower and supplies.

Before the project, there was no full appreciation of the system. There was no structured and closed-loop system of communication between staff manning the hospital and those on stand-by outside the hospital – no whereabouts; contacts; responses; updates of emergencies; deactivation notices; etc.  Not all staff of OMSurg were involved.  Only the surgical residents and interns on duty.  Only a few of staff on stand-by outside the hospital would go to the hospital when called. With no reinforcement, those on duty made do with their limited number to cope with the surge of patients.

With the project, ALL 60 staff, inclusive of consultants and interns, acquired full appreciation and involvement in the code alert system.  Evaluation of 6 activations made showed 91% mean response rate within one hour of whereabouts from stand-by staff and 90% on code red.

 

———————————————

Response Rates of ALL Staff after Activation:

Sourced from Evaluation Checklists:

Legend: 1 to 6 represent the drills and actual activations.

  Required-activity Statements for Evaluation 1 2 3 4 5 6 Remarks (areas for improvement)
5 All members of the Surgical Team receiving the activation text replied with “copy” or “noted” and current exact whereabouts, within 30 minutes after the code activation text was sent. (Realistic target: 50%)

O = 58

R = 100

C =  32

I = 48

O = 95

R = 100

C = 90

I = 96

O = 95

R = 100

C = 100

I = 88

O = 75

R = 93

C = 77

I = 52

O = 83

R = 100

C = 50

R =100

O =77

R = 81

C = 50

I = 100

O = Overall, all staff

R = Residents

C = Consultants

I = Interns

 

Mean = 81%  

R= 96%

C = 73%

I = 66%

6 There was a repeat texting of the code activation until at least 80% of the members of the Surgical Team replied with “copy” or “noted” and current exact whereabouts. This was achieved within 60 minutes after the code activation text was first sent.

75%

Stopped texting after 2nd try.

 

95%

95%

>92%

97%

89%

Mean = 91%  

 

12 All the members of the Surgical Team who were on stand-by outside the Hospital were able to arrive to the Hospital within 30 minutes after elevation of a lower code alert to a higher level such as from Code White to Code Blue or Code Red. NA NA NA NA NA Code Red was activated once in April 21, 2012 (#4) – 9/10 (90%) residents came over to the hospital

 

 

Advertisements
This entry was posted in Asian Hospital Management Awards, OMMC Surgery Code Alert System - 2012 AHMA. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s