Winterbottom: How leadership has evolved, key drivers: looking at optimization of care, making it more timely and engaging patients and families #CCC50 #PedsICU 
Winterbottom: Resuscitation Program Structure #CCC50 #PedsICU multiple elements to their program, will look at process of care
Winterbottom: originally their team was an ICU consult team that responded to questions on the floor, they revamped in 2017 #CCC50 #PedsICU
Winterbottom: RRNs do risk stratification but use electronic model and AI alerts #CCC50 #PedsICU can notify in multiple ways
Winterbottom: they have standard orders the nurses can order as part of rapid response. standard notes. #CCC50 #PedsICU
Winterbottom: weekly data driven review of resuscitation events #CCC50 #PedsICU Do a preventability rating on all codes
Winterbottom: outcomes, have seen a decrease in cardiopulmonary arrest rates since revamping their team , lower rate outside the ICU (red) than in the ICU (green) #CCC50 #PedsICU (Blip with COVID)
Winterbottom: Nurse proactive high risk screening, continues to increase as they add more resources #CCC50 #PedsICU they screen 2000/month
Winterbottom: as consults go up, the proactive rounding goes down due to limited resources #CCC50 #PedsICU
Winterbottom: 80% of patients transfered to ICU come through this process. About 100/month
Winterbottom: able to show that they have improved across the board in outcomes and cost #CCC50 #PedsICU
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