The Pause After the Pulse: Learning from a Code Blue Debrief

Authors

Eguia Staci, The University of Texas MD Anderson Cancer CenterFollow
Kimberly Foster, The University of Texas MD Anderson Cancer CenterFollow
Kimberly Foster, The University of Texas MD Anderson Cancer CenterFollow
Lynsey Stiles, The University of Texas MD Anderson Cancer CenterFollow
Uzondu Osuagwu, The University of Texas MD Anderson Cancer CenterFollow

Files

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