Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates

Mark Romig; Jordan Duval-Arnould; Bradford D Winters; Heather Newton; Adam Sapirstein

doi:10.1016/j.ccc.2017.12.009

Intensivist Presence at Code Events Is Associated with High Survival and Increased Documentation Rates

Crit Care Clin. 2018 Apr;34(2):259-266. doi: 10.1016/j.ccc.2017.12.009. Epub 2018 Feb 13.

Authors

Mark Romig¹, Jordan Duval-Arnould², Bradford D Winters³, Heather Newton⁴, Adam Sapirstein³

Affiliations

¹ Johns Hopkins University, School of Medicine, Johns Hopkins Medicine, Armstrong Institute for Quality and Patient Safety, 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address: mromig1@jhmi.edu.
² Johns Hopkins University, School of Medicine, Johns Hopkins Medicine Simulation Center, 1800 Orleans Street, Baltimore, MD 21287, USA.
³ Johns Hopkins University, School of Medicine, Johns Hopkins Medicine, Armstrong Institute for Quality and Patient Safety, 1800 Orleans Street, Baltimore, MD 21287, USA.
⁴ Resuscitation Events, Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287, USA.

PMID: 29482905
DOI: 10.1016/j.ccc.2017.12.009

Abstract

To better support the highest function of the Johns Hopkins Hospital adult code and rapid response teams, a team leadership role was created for a faculty intensivist, with the intention to integrate improve processes of care delivery, documentation, and decision-making. This article examines process and outcomes associated with the introduction of this role. It demonstrates that an intensivist has the potential to improve patient care while offsetting costs through improved billing capture.

Keywords: Cardiopulmonary resuscitation; Documentation; Electronic health record; Hospital rapid response team.

Publication types

Review

MeSH terms

Baltimore
Cardiopulmonary Resuscitation / standards*
Decision Making
Documentation*
Heart Arrest / therapy*
Hospital Mortality
Hospital Rapid Response Team / standards*
Humans
Patient Care Team / standards*
Practice Guidelines as Topic*
Survival Analysis*