Cardiac arrest & resuscitation

Code Blue blindspots: mapping nursing exposure to cardiac arrests

ResuscitationPublished Retrospective observational modelling study

Authors' conclusion

Even in high-incidence wards, most nurses experience long, irregular intervals between cardiac arrest events-periods long enough for CPR and resuscitation skills to decay.

Study context

Population
Code Blue (in-hospital cardiac arrest (IHCA)) activations at a tertiary care hospital, January 2023 through December 2024
Participants
9 vs 10,000
Exposure
Standard schedules vs All modeled schedules
  • Standard schedulesn = 9
  • All modeled schedulesn = 10,000
Outcome
Number of Code Blue events encountered per nursing schedule and intervals between exposures
Follow-up
Two years
Methodological detailssingle-centre, spatial-temporal analysis, schedule simulation
  • Single-centre
  • Spatial-temporal analysis
  • Schedule simulation

Main finding

As reported in the abstract

Time between Code Blue exposures · 2 years
GroupValueMedian Code Blues over two yearsSchedules with ≥1 gap >90 days
Standard schedulesmedian 36 (IQR 34.5–47) days15All nine

Standard schedules

Valuemedian 36 (IQR 34.5–47) days
Median Code Blues over two years15
Schedules with ≥1 gap >90 daysAll nine

Observational data: associations, not effects.

Further findings

Distribution of Code Blues across wards

Code Blues in a single cardiology step-down unit
30%
  • Unevenly distributed across wards

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Code Blue blindspots: mapping nursing exposure to cardiac arrests. Resuscitation. Published 1 February 2026. doi:10.1016/j.resuscitation.2026.111000

Composed by AI from the published abstract and checked against it. How Briefs are made →

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