Case Study: Improving Code Blue Performance with Xapimed​

medstar Health
job shadowing hospital

No. of Users


onboarding checklist for nurses

No. of Hospitals


nursing onboarding process

Xapimed Customer Since


Executive Summary

Improving Code Blue performance is a top Medstar priority. Medstar implemented Xapimed as part of an initiative to address performance issues such as:

Xapimed is used by medical observers to collect fine-grained data on how teams work together in a mock code blue simulation.

The data collected through Xapimed provided insights into how clinicians are applying their training and provides ongoing opportunities to improve learning design.

nurse onboarding checklist
job shadowing nursing


Providing care to more than 500,000 patients each year, MedStar Health is the largest healthcare provider in the Washington, D.C./Maryland region. As an organization, they’re committed to providing the best care during emergency situations in which patients are in cardiopulmonary arrest (referred to as “Code Blues”).

During a Code Blue, the stakes are literally life and death—which is why it’s vital that MedStar resuscitation team members are well trained. Speed is vital in the seconds and minutes that follow a Code Blue, including the amounts of time for performing chest compressions and defibrillation and administering medications to a patient.

As a result, MedStar’s Code Blue training and learning resources have focused on improving clinician performance to reduce these times. However, MedStar didn’t have extensive information on the effectiveness of various training programs and learning resources.

How Xapimed Helped Collect Data for Mock Code Blue

Medstar decided that the most realistic way to simulate the measure the application of resuscitation training was to create ‘Mock Code Blues’.

A medical resuscitation mannequin is placed within areas of the hospitals. As staff encounter the mannequin they participate in the ‘Mock Code Blue’. A Medical Educator uses the Xapimed Group Observation App to record information on the participants, the resuscitation processes and any problems encountered. This data is then used to address training issues.


Results - Using Data in Mock Code Blues

Through the collection of data in Xapimed, Medstar can now analyse how staff are performing in Mock Code Blue and identify where problems are occurring


This report shows how KPIs for Mock Code Blues on a department by department basis.

Figure 1 – Not actual data.