Situation Awareness Incorporating MUltidisciplinary Teams Reduce Arrests In (SAMURAI) the PICU
Pediatric cardiac arrest is a significant issue in hospitals, particularly in pediatric intensive care units (PICUs), where it's often preceded by respiratory or circulatory issues.
Despite improvements in survival rates, many children still die before discharge, emphasizing the need for preventive measures. The SAMURAI PICU bundle is a comprehensive intervention aimed at reducing in-hospital cardiac arrest (IHCA) events in PICUs. The bundle includes early identification tools and strategies to enhance shared situation awareness among healthcare teams.
Initial local trials showed promising results, with over 50% reduction in IHCA events. Our team is actively assessing SAMURAI PICU in a hyprid effectiveness/implementation trial at additional sites and is actively seeking collaboration to expand and spread the SAMURAI PICU bundle to support the prediction and prevention of in hospital cardiac arrest.
SAMURAI PICU Multi-Site Trial
This AHRQ funded R18 trial is adapting and implementing the SAMURAI PICU bundle in multiple pediatric institutions through a user-centered design approach. The study aims to assess the effectiveness of the bundle in reducing CPR events and improving patient outcomes across different settings. By leveraging existing networks and infrastructure, the research aims to efficiently address pediatric cardiac arrest prevention, ultimately improving pediatric patient safety and saving lives.
