Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.

Elizabeth A. Hunt; Allen R. Walker; Donald H. Shaffner; Marlene R. Miller; Peter Pronovost

Study

Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.

January 16, 2008

Hunt EA, Walker AR, Shaffner DH, et al. Pediatrics. 2008;121(1):e34-e43.

View more articles from the same authors.

This study of hospital-based mock codes found significant delays and deviations in the care of pediatric patients requiring resuscitation. The authors advocate for use of simulation to help identify opportunities for educational intervention. A similar study in the adult population found delays in treatment of in-hospital cardiac arrests, with lower survival rates in patients with slower response rates. A past AHRQ perspective discusses the role of simulation and what it adds to traditional classroom-based teamwork training.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

October 14, 2009

Tracking progress in patient safety: an elusive target.

August 16, 2006

Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations.

April 18, 2007

Measurement of quality and assurance of safety in the critically ill.

April 8, 2009

Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center.

February 20, 2008

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.

May 3, 2017

A model for the departmental quality management infrastructure within an academic health system.

September 28, 2016

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

October 8, 2008

Paying the piper: investing in infrastructure for patient safety.

June 4, 2008

Relationship between performance measurement and accreditation: implications for quality of care and patient safety.

November 2, 2005

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

May 6, 2009

Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization.

March 6, 2005

A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

March 15, 2006

Creating high reliability in health care organizations.

December 20, 2006

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

February 29, 2012

A practical tool to learn from defects in patient care.

February 8, 2006

A check-up for safety culture in "my patient care area."

November 14, 2007

Sustaining reliability on accountability measures at the Johns Hopkins Hospital.

January 27, 2016

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.

December 4, 2013

Fostering transparency in outcomes, quality, safety, and costs.

October 12, 2016

Can teaching medical students to investigate medication errors change their attitudes towards patient safety?

February 16, 2011

State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections.

September 9, 2015

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

March 28, 2007

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

February 16, 2011

Measuring preventable harm: helping science keep pace with policy.

April 1, 2009

Pediatric antidepressant medication errors in a national error reporting database.

February 17, 2010

A morning briefing: setting the stage for a clinically and operationally good day.

August 10, 2005

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

February 8, 2012

Team training: implications for emergency and critical care pediatrics.

May 28, 2008

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.

April 15, 2009

Fifteen years after To Err Is Human: a success story to learn from.

January 13, 2016

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.

August 8, 2018

Decreasing errors in pediatric continuous intravenous infusions.

May 24, 2006

Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.

July 29, 2009

Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.

May 28, 2008

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study.

May 23, 2012

Transforming the morbidity and mortality conference to promote safety and quality in a PICU.

April 6, 2016

The morbidity and mortality conference in PICUs in the United States: a national survey.

September 24, 2014

Prescribing errors in a pediatric emergency department.

March 5, 2008

Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.

January 3, 2007

Setting priorities for patient safety: ethics, accountability, and public engagement.

September 2, 2009

Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.

November 11, 2015

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

March 17, 2010

View the world through a different lens: shadowing another provider.

October 8, 2008

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.

January 21, 2015

The incorporation of patient safety into board certification examinations.

April 12, 2006

How will we know patients are safer? An organization-wide approach to measuring and improving safety.

June 7, 2006

Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.

April 23, 2014

Characteristics of pediatric chemotherapy medication errors in a national error reporting database.

June 13, 2007

Potential medication dosing errors in outpatient pediatrics.

January 11, 2006

Surgical safety checklists: do they improve outcomes?

June 20, 2012

The Johns Hopkins Hospital: identifying and addressing risks and safety issues.

March 6, 2005

Viewing health care delivery as science: challenges, benefits, and policy implications.

October 13, 2010

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Defining and measuring patient safety.

March 6, 2005

Cardiac surgery errors: results from the UK National Reporting and Learning System.

February 16, 2011

From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.

March 1, 2017

Interventions to reduce pediatric medication errors: a systematic review.

July 30, 2014

COVID-19: the dark side and the sunny side for patient safety.

October 14, 2020

The safe day call: reducing silos in health care through frontline risk assessment.

September 24, 2014

Rural hospital nursing: better environments = shared vision and quality/safety engagement.

April 29, 2009

A framework for operationalizing risk: a practical approach to patient safety.

May 2, 2018

From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration.

August 18, 2021

Cardiovascular medication errors in children.

July 22, 2009

Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder.

September 3, 2008

A national profile of patient safety in U.S. hospitals.

March 6, 2005

The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders.

October 8, 2008

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?

December 4, 2013

Medical errors in orthopaedics. Results of an AAOS member survey.

March 18, 2009

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

July 21, 2010

Re-examining high reliability: actively organising for safety.

May 18, 2016

The wisdom and justice of not paying for "preventable complications."

May 14, 2008

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

January 21, 2009

Learning accountability for patient outcomes.

July 21, 2010

We need leaders: the 48th Annual Rovenstine Lecture.

May 19, 2010

Enhancing physicians' use of clinical guidelines.

January 8, 2014

An interview with Peter Pronovost

November 2, 2005

Toward learning from patient safety reporting systems.

January 10, 2007

Developing process-support tools for patient safety: finding the balance between validity and feasibility.

October 8, 2008

Structuring feedback and debriefing to achieve mastery learning goals.

May 18, 2016

Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program.

March 27, 2005

Patient safety rounds in a pediatric tertiary care center.

January 9, 2008

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

August 25, 2010

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Using a logic model to design and evaluate quality and patient safety improvement programs.

July 25, 2012

Measurement as a performance driver: the case for a national measurement system to improve patient safety.

April 26, 2017

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port.

January 25, 2006

Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.

April 15, 2005

Beyond "see one, do one, teach one": toward a different training paradigm.

February 25, 2009

How to use an article about quality improvement.

December 1, 2010

Operating room briefings: working on the same page.

June 14, 2006

Making care better in the pediatric intensive care unit.

January 30, 2019

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

August 20, 2014

Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care.

August 5, 2015

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

November 4, 2015

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?

January 30, 2005

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Rethinking rapid response teams.

September 29, 2010

Building a highway to quality health care.

September 7, 2016

Related Resources

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.

January 17, 2024

Observing sources of system resilience using in situ alarm simulations.

October 25, 2023

Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.

September 13, 2023

In-situ simulations to detect patient safety threats during in-hospital cardiac arrest.

September 13, 2023

Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study.

September 6, 2023

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units.

September 6, 2023

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training.

June 21, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

We are not there yet: a qualitative system probing study of a hospital rapid response system.

April 20, 2022

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.

February 2, 2022

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.

October 30, 2019

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

Making care better in the pediatric intensive care unit.

January 30, 2019

Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training.

September 12, 2018

Safety II behavior in a pediatric intensive care unit.

August 1, 2018

Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit.

February 21, 2018

Diagnostic errors in paediatric cardiac intensive care.

February 21, 2018

Alterations in Spanish language interpretation during pediatric critical care family meetings.

December 6, 2017

Rudeness and medical team performance.

April 12, 2017

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study.

April 5, 2017

Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care.

March 8, 2017

Decreasing malpractice claims by reducing preventable perinatal harm.

September 14, 2016

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.

August 3, 2016

Structuring feedback and debriefing to achieve mastery learning goals.

May 18, 2016

Transforming the morbidity and mortality conference to promote safety and quality in a PICU.

April 6, 2016

The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.

November 25, 2015

See More About The Topic

Hospitals

Critical Care

Neonatology and Intensive Care

Discontinuities, Gaps, and Hand-Off Problems

Medical Complications

Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site