Abstract 37: Limited Knowledge of the Crash Call Number Among Hospital Staff - a Call for Standardization
Introduction: In-hospital cardiac arrest carries a poor prognosis. Any delay in activating the hospital resuscitation team may jeopardize survival. Hospital staff often works at multiple sites and a lack of a uniform crash call number may contribute to delayed activation of the resuscitation team. The aim of this study was to quantify crash call numbers in all public hospitals in Denmark, and furthermore to determine the knowledge of the crash call number among hospital staff.
Methods: All public Danish hospitals were contacted by telephone to quantify the crash call numbers in use. We randomly sampled two university hospitals and five county hospitals, and questionnaires were distributed among hospital staff to investigate the knowledge of the crash call number. The questionnaire included questions on occupation, knowledge of crash call number and how that knowledge was obtained. In addition, the staff was asked to disclose employments at other hospitals within the last 12 months and their respective crash call numbers.
Results: At 74 hospitals 41 different crash call numbers were used. The most prevalent numbers were “2222” (n=12), “4444” (n=2), “7000” (n=2) and “2011” (n=2). Based on 648 questionnaires (response rate 78%) the overall average knowledge of the crash call number was 49.5% (Physicians: 48% (n=179); nursing personal: 58% (n=201); service personal: 52% (n=168); miscellaneous: 31% (n=100)). The primary source of knowledge was introduction to the hospital (36%), boards or labels on phones (23%) and participation in an emergency situation (12%). A minor part of the staff (18%) had 1 – 3 employments at other hospitals within the previous 12 months. Recollection of the crash call numbers at these hospitals were 21%, 2% and 4% respectively.
Conclusions: We demonstrate a pronounced diversity in the crash call numbers in use. The knowledge of the crash call number is limited among hospital staff. A standardized crash call number may strengthen knowledge and improve activation of the resuscitation team.
- © 2010 by American Heart Association, Inc.