Quality and Patient Safety Annual Report 2017 Quality & Safety Annual Report 2017 | Page 19

PEDIATRIC CODE STANDARDIZATION The team performed a needs assessment that included where pediatric patients are currently cared for and where they are anticipated to be cared for in the future. Four key areas were identified: personnel, equipment, education/training, and policies. Appropriate equipment and medications were provided to those areas to ensure efficient access in the event they are needed. The pharmacy developed an updated pediatric dosing sheet, which was placed in the infant resuscitation drug kit (IRDK) and the new Broselow bags/carts. This was color-coded to meet standardization with Broselow bags/carts. The Value of a ‘Near Miss’: Pediatric Code Redesign In 2017, a Pediatric Code activation occurred in the ultrasound area of UAB Hospital. Although the patient ultimately required no treatment, process failures were noted when the incorrect emergency response team arrived and delays in pediatric supplies occurred. In truth, a Pediatric Code is a rare event at UAB, with only five activations between 2011 and 2016. The near miss was referred to the Patient Safety department for review, and the Patient Safety Committee chartered a team to be formed to review the process. The team had interprofessional representation that included experts in pediatric care, neonatal care, the Emergency Department, the UAB pharmacy, Materials Management, the Office of Interprofessional Simulation, the UAB Call Center, the Department of Quality and Patient Safety, and members of UAB’s emergency response team. This team had a goal of formalizing/standardizing procedures for Pediatric Codes, to make sure equipment was available where needed, to train staff, and to standardize policies. Policies were comprehensively reviewed, and revisions were made with input from the Resuscitation Committee and the Neonatal Team. There was standardization of equipment naming and contents, location of equipment, and response teams in six different policies. The Office of Interprofessional Simulation conducted in-situ simulation codes, identified gaps in the process, and corrected these through education. Follow-up simulation demonstrated significant improvements in personnel response and equipment availability. Targeted education was performed for the MET Team, the pharmacy, the neonatal and pediatric emergency response teams, and the Emergency Department. Targeted education to specific units with new/additional equipment was performed, and refresher education on calling a Pediatric Code was done for all staff. www.uabmedicine.org 17