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Description
A structured multidisciplinary after-hours code debrief was utilized to learn from identified safety gaps by using psychological safety, peer support, mock codes and badge inserts utilizing cognitive aids. Overall impact is improved safety, process reliability, team cohesion, and psychological safety aligned with organizational values.
Category
Performance Improvement
Department
West Houston - Ambulatory Clinics
Recommended Citation
Staci, Eguia; Foster, Kimberly; Foster, Kimberly; Stiles, Lynsey; and Osuagwu, Uzondu, "The Pause After the Pulse: Learning from a Code Blue Debrief" (2025). Ambulatory Celebrate Improvements Fair 2026. 4.
https://openworks.mdanderson.org/acif26/4
Accessibility Statement
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