2014 Hospital Emergency Code Standardization Survey TABLE of CONTENTS

Hospital Emergency Code Standardization Survey

SURVEY REPORT

CALIFORNIA HOSPITAL ASSOCIATION October 2014

2014 Hospital Emergency Code Standardization Survey TABLE OF CONTENTS

Survey Introduction ...... 3

SECTION I: Statewide Cumulative Data ...... 4-23 Fire ...... 5 Medical Emergencies - Adult ...... 6 Medical Emergencies - Pediatric ...... 7 Infant Abduction ...... 8 Child Abduction ...... 9 Bomb Threat ...... 10 Combative Person ...... 11 Hazardous Materials Spill ...... 12 Patient Elopement ...... 13 Emergency Alert ...... 14 Internal Emergency ...... 15 External Emergency ...... 16

Person with a Weapon/Active Shooter/Hostage Situation ...... 17 Survey Standardization Code EmergencyHospital 2014 Active Shooter ...... 18-23

SECTION II: Hospital Council of Southern California ...... 24-43 Fire ...... 25 Medical Emergencies - Adult ...... 26 Medical Emergencies - Pediatric ...... 27 Infant Abduction ...... 28 Child Abduction ...... 29 Bomb Threat ...... 30 Combative Person ...... 31 Hazardous Materials Spill ...... 32 Patient Elopement ...... 33

Emergency Alert ...... 34

Internal Emergency ...... 35 External Emergency ...... 36 Person with a Weapon/Active Shooter/Hostage Situation ...... 37 Active Shooter ...... 38-43

SECTION III: Hospital Council of Northern and Central California ...... 44-63 Fire ...... 45 Medical Emergencies - Adult ...... 46 Medical Emergencies - Pediatric ...... 47 Infant Abduction ...... 48 Child Abduction ...... 49 Bomb Threat ...... 50 Combative Person ...... 51 Hazardous Materials Spill ...... 52 Patient Elopement ...... 53 Emergency Alert ...... 54 Internal Emergency ...... 55 External Emergency ...... 56 Person with a Weapon/Active Shooter/Hostage Situation ...... 57 Active Shooter ...... 58-63

SECTION IV: Hospital Association of San Diego & Imperial Counties ...... 64-83

Fire ...... 65 Hospital 2014 Medical Emergencies - Adult ...... 66 Medical Emergencies - Pediatric ...... 67 Infant Abduction ...... 68 Child Abduction ...... 69 Survey Standardization Code Emergency Bomb Threat ...... 70 Combative Person ...... 71 Hazardous Materials Spill ...... 72 Patient Elopement ...... 73 Emergency Alert ...... 74 Internal Emergency ...... 75 External Emergency ...... 76 Person with a Weapon/Active Shooter/Hostage Situation ...... 77

Active Shooter ...... 78-83

2014 Hospital Emergency Code Standardization Survey

Survey Introduction

Most healthcare facilities use some form of emergency code system to discreetly relay urgent information to hospital personnel during emergency incidents. However, the application of these codes is not always consistent between facilities. Lack of standardization increases the potential for confusion or misinformation during critical times.

Standardizing hospital emergency codes provides benefit to hospital employees, patients, and visitors by reducing confusion and allowing staff to appropriately respond to emergency incidents (such as natural disasters or terrorist events.)

The California Hospital Association (in partnership with the regional hospital Survey Standardization Code EmergencyHospital 2014 associations) conducted Hospital Emergency Code surveys in 2009, 2011 and 2014 to collect data on hospital emergency code usage within California healthcare facilities. The information collected from these surveys has allowed for the assessment of statewide trends in hospital emergency code usage over the past 5 years.

This report provides analysis of the 2014 statistics in comparison to the 2009 and 2011 data. The final results of all three surveys and illustrates ongoing progress in hospital emergency code implementation among California healthcare facilities.

SECTION 1: Statewide Cumulative Survey Results

191 California hospitals responded to the survey

Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

FIRE Does your facility use code Red for fire?

99.6% 98.9% 99.5% 2009 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

1.2% 0.4% 0.5% Code Red Other Code

MEDICAL EMERGENCY – ADULT Does your facility use Code Blue for medical emergency (adult)?

99.5% 97.5% 2009 2011 89.3% 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

7.3% 2.1% 3.4% 0.5% 0.4% 0% Code Blue Other Code No Code

MEDICAL EMERGENCY – PEDIATRIC Does your facility use Code White for medical emergency (pediatric)?

2009 2011

48.4% 48.9% 2014 45.8% 43.0% 41.1%

35.9%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

15.3% 13.2%

8.6%

Code White Other Code No Code

INFANT ABDUCTION Does your facility use Code Pink for infant abduction?

82.7% 2009 78.5% 2011 70.6% 2014

2014 Hospital 2014

20.6% 19.9% 16.8% Survey Standardization Code Emergency

8.8%

0.4% 1.7% Code Pink Other Code No Code

Non-applicable survey responses have been excluded from this category. 8

CHILD ABDUCTION Does your facility use Code Purple for child abduction?

2009 2011 67.0% 67.4% 2014

56.1%

32.1% 28.3% 27.7%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

11.8%

4.8% 4.9%

Code Purple Other Code No Code

Non-applicable survey responses have been excluded from this category. 9

BOMB THREAT

Does your facility use Code Yellow for bomb threat?

75.0% 75.0%

2009 61.5% 2011 2014

2014 Hospital 2014

23.7%

Emergency Code Standardization Survey Standardization Code Emergency 16.7% 18.0% 14.9%

8.3% 7.0%

Code Yellow Other Code No Code

COMBATIVE PERSON Does your facility use Code Gray for a combative person?

81.0% 79.2%

2009 68.7% 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014 27.5%

18.8%

14.0%

3.8% 5.0% 2.1%

Code Gray Other Code No Code

HAZARDOUS MATERIALS SPILL Does your facility use Code Orange for hazardous materials?

84.2% 79.6% 74.8% 2009 2011 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency 15.7% 12.6% 9.5% 8.8% 7.1% 7.9%

Code Orange Other Code No Code

PATIENT ELOPEMENT

Does your facility use Code Green for patient elopement?

2009 2011 77.9% 2014

62.1%

45.0%

37.0%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

22.9%

17.2% 18.0% 15.0%

5.0%

Code Green Other Code No Code

EMERGENCY ALERT Does your facility use Code Triage Alert for emergency alert?

2009 78.0% 77.1% 2011 2014

55.0%

43.5%

2014 Hospital 2014

19.0% Survey Standardization Code Emergency 13.3% 9.6%

1.5% 3.0%

Code Triage Alert Other Code No Code

Code Triage Alert was added in 2009 14

INTERNAL EMERGENCY Does your facility use Code Triage Internal for internal emergencies?

72.8% 70.8% 2009 2011 2014

58.5%

34.4%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014 22.5% 23.6%

6.9% 6.7% 3.7%

Code Triage Internal Other Code No Code

EXTERNAL EMERGENCY

Does your facility use Code Triage External for external emergencies?

72.1% 72.6% 2009

2011

2014

52.3%

43.9%

24.2% 21.7% Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

6.3% 3.8% 3.2%

Code Triage Other Code No Code External

PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Does your facility use Code Silver for a person with a weapon, an active shooter, and/or hostage situation?

87.4% 81.3% 2009 2011 2014 66.8%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

23.7%

12.9% 9.5% 7.3% 5.8% 5.2%

Code Silver Other Code No Code

ACTIVE SHOOTER Does your facility have an emergency code designated solely for an active shooter event?

Yes, Code Silver 42.9%

No Code 36.6%

Plain Language 5.8%

Code + plain 9.4% language Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Yes, Other Code 2.6%

Yes, Code Black 2.6%

ACTIVE SHOOTER TRAINING Has your facility conducted classroom or online training for active shooter scenarios?

No 35.8%

Yes 64.2%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

ACTIVE SHOOTER EXERCISES Has your facility conducted a tabletop or functional training exercise for active shooter scenarios?

Yes No 55.0% 45.0%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

ACTIVE SHOOTER: HAZARD VULNERABILITY ANALYSIS Does your facility HVA include the active shooter scenario as one of your listed risks?

Yes 42.9%

No 57.1%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

ACTIVE SHOOTER POLICY Does your facility active shooter policy call for "lockdown" or "shelter in place"?

52.4%

37.4%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency 10.5%

Lockdown Shelter in Place N/A

ACTIVE SHOOTER INCIDENTS Has your facility ever had to activate the EOP for an actual active shooter incident?

Yes 10.6%

No Survey Standardization Code EmergencyHospital 2014 89.4%

SECTION II: Hospital Association of Southern California 88 HASC hospitals responded to the survey

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Association of Southern California

FIRE Does your facility use code Red for fire?

2009 2011 100% 100% 100% 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

0% 0% 0% Code Red Other Code

Hospital Association of Southern California

MEDICAL EMERGENCY – ADULT Does your facility use Code Blue for medical emergency (adult)?

98.9% 96.3% 2009 90.3% 2011 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

8.7% 2.8% 1.1% 1.0% 0.9% 0% Code Blue Other Code No Code

Hospital Association of Southern California

MEDICAL EMERGENCY – PEDIATRIC Does your facility use Code White for medical emergency (pediatric)?

68.7% 2009 2011 57.3% 2014

45.8% 41.1%

32.0%

26.3% Survey Standardization Code EmergencyHospital 2014

13.2% 10.7%

5.1%

Code White Other Code No Code

Hospital Association of Southern California

INFANT ABDUCTION Does your facility use Code Pink for infant abduction?

93.1% 89.3% 83.1% 2009 2011 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency 15.7%

6.8% 6.9% 3.9% 0% 1.2% Code Pink Other Code No Code

Hospital Association of Southern California

CHILD ABDUCTION Does your facility use Code Purple for child abduction?

78.6% 75.7% 2009 72.3% 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

22.9% 16.5% 15.5%

7.8% 5.8% 4.8%

Code Purple Other Code No Code

Hospital Association of Southern California

BOMB THREAT Does your facility use Code Yellow for bomb threat?

89.7% 83.5% 81.8% 2009 2011 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

10.7% 10.2% 8.0% 5.8% 4.7% 5.6%

Code Yellow Other Code No Code

Hospital Association of Southern California

COMBATIVE PERSON Does your facility use Code Gray for a combative person?

92.5% 87.5% 2009 85.4% 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

9.7% 6.5% 6.8% 4.9% 5.7% 0.9% Code Gray Other Code No Code

Hospital Association of Southern California

HAZARDOUS MATERIALS Does your facility use Code Orange for hazardous materials?

94.4%

85.4% 84.1% 2009

2011

2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

10.7% 10.2% 5.7% 3.9% 3.7% 1.9%

Code Orange Other Code No Code

Hospital Association of Southern California

PATIENT ELOPEMENT Does your facility use Code Green for patient elopement?

2009 78.6% 2011 2014

56.1%

43.2% 40.9%

29.9% Survey Standardization Code EmergencyHospital 2014

17.5% 14.0% 15.9%

3.9%

Code Green Other Code No Code

Hospital Association of Southern California

EMERGENCY ALERT Does your facility use Code Triage Alert for emergency alert?

80.4% 2009 76.1% 2011 2014

65.1%

33.0% Hospital 2014

23.9%

Emergency Code Standardization Survey Standardization Code Emergency

10.3% 9.3%

1.9% 0% Code Triage Alert Other Code No Code

Hospital Association of Southern California

INTERNAL EMERGENCY Does your facility use Code Triage Internal for internal emergencies?

80.4% 2009 77.3% 2011 2014

61.2%

36.9%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

20.5% 15.9%

3.7% 1.9% 2.3%

Code Triage Internal Other Code No Code

Hospital Association of Southern California

EXTERNAL EMERGENCY Does your facility use Code Triage External for external emergencies?

80.4% 2009 76.1% 2011 2014

62.1%

37.9%

2014 Hospital 2014

22.7%

15.0% Survey Standardization Code Emergency

4.7% 0% 1.1% Code Triage Other Code No Code External

Hospital Association of Southern California PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Does your facility use Code Silver for a person with a weapon, an active shooter, and/or hostage situation?

91.6% 92.0% 89.3%

2009 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

5.8% 4.7% 4.9% 3.7% 5.7% 2.3%

Code Silver Other Code No Code

Hospital Association of Southern California ACTIVE SHOOTER Does your facility have an emergency code designated solely for an active shooter event?

Yes, Code Silver 40.9%

No Code 35.2%

Code + plain language 15.9%

2014 Hospital 2014 Yes, Code Black 3.4%

Emergency Code Standardization Survey Standardization Code Emergency

Plain Language 2.3%

Yes, Other Code 2.3%

Hospital Association of Southern California ACTIVE SHOOTER TRAINING Has your facility conducted classroom or online training for active shooter scenarios?

No Yes 36.4% 63.6%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Association of Southern California ACTIVE SHOOTER EXERCISES Has your facility conducted a tabletop or functional training exercise for active shooter scenarios?

Yes No 48.9% 51.1%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Association of Southern California ACTIVE SHOOTER: HAZARD VULNERABILITY ANALYSIS Does your facility HVA include the active shooter scenario as one of your listed risks?

No 40.9% Yes 59.1%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Association of Southern California ACTIVE SHOOTER POLICY Does your facility active shooter policy call for "lockdown" or "shelter in place"?

54.5%

39.8%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

5.7%

Lockdown Shelter in Place N/A

Hospital Association of Southern California ACTIVE SHOOTER INCIDENTS Has your facility ever had to activate the EOP for an actual active shooter incident?

Yes 7.0%

No Survey Standardization Code EmergencyHospital 2014 93.0%

SECTION III: Hospital Council of Northern and Central California

89 HCNCC hospitals responded to the survey

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Council of Northern and Central California FIRE Does your facility use code Red for fire?

97.7% 98.2% 98.9% 2009 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

2.3% 1.8% 1.1%

Code Red Other Code

Hospital Council of Northern and Central California MEDICAL EMERGENCY – ADULT Does your facility use Code Blue for medical emergency (adult)?

100% 99.1% 2009 90.8% 2011 2014

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

6.1% 3.1% 0.9% 0% 0% 0% Code Blue Other Code No Code

Hospital Council of Northern and Central California

MEDICAL EMERGENCY – PEDIATRIC Does your facility use Code White for medical emergency (pediatric)?

2009

2011 56.2% 57.4% 2014 51.7%

32.7% 32.6%

26.9%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

16.9% 15.7%

9.9%

Code White Other Code No Code

Hospital Council of Northern and Central California

INFANT ABDUCTION Does your facility use Code Pink for infant abduction?

82.5% 80.0%

2009 67.7% 2011 2014

2014 Hospital 2014

20.8% 17.6% 16.5% Survey Standardization Code Emergency 11.5%

1.0% 2.4%

Code Pink Other Code No Code

Non-applicable survey responses have been excluded from this category.

Hospital Council of Northern and Central California

CHILD ABDUCTION Does your facility use Code Purple for child abduction?

65.9%

57.5% 2009 2011 2014 46.9%

40.0% 37.8%

29.5%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

13.1%

4.7% 4.5%

Code Purple Other Code No Code

Non-applicable survey responses have been excluded from this category.

Hospital Council of Northern and Central California BOMB THREAT Does your facility use Code Yellow for bomb threat?

75.3% 2009 69.7% 2011 2014

56.2%

31.5%

2014 Hospital 2014

21.1% 21.3%

Emergency Code Standardization Survey Standardization Code Emergency

12.3% 9.2%

3.4%

Code Yellow Other Code No Code

Hospital Council of Northern and Central California

COMBATIVE PERSON Does your facility use Code Gray for a combative person?

2009 80.9% 2011 73.4% 2014

64.6%

32.3%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

22.9%

14.6%

3.1% 3.7% 4.5%

Code Gray Other Code No Code

Hospital Council of Northern and Central California

HAZARDOUS MATERIALS Does your facility use Code Orange for hazardous materials?

2009 2011 78.0% 77.5% 2014 71.5%

2014 Hospital 2014

19.1% Survey Standardization Code Emergency 15.4% 13.1% 11.9% 10.1%

3.4%

Code Orange Other Code No Code

Hospital Council of Northern and Central California

PATIENT ELOPEMENT Does your facility use Code Green for patient elopement?

2009 71.6% 2011 2014

50.0% 47.7% 47.7% 44.5%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

18.3% 14.7% 13.8%

2.3%

Code Green Other Code No Code

Hospital Council of Northern and Central California

EMERGENCY ALERT Does your facility use Code Triage Alert for emergency alert?

80.9% 2009 2011 74.3% 2014

50.8% 47.7%

2014 Hospital 2014

18.3% Survey Standardization Code Emergency 13.5% 7.3% 5.6% 1.5%

Code Triage Alert Other Code No Code

Hospital Council of Northern and Central California

INTERNAL EMERGENCY Does your facility use Code Triage Internal for internal emergencies?

71.9% 2009 66.1% 2011 2014

50.0%

41.5%

25.7% Survey Standardization Code EmergencyHospital 2014 23.6%

8.5% 8.3% 4.5%

Code Triage Other Code No Code Internal

Hospital Council of Northern and Central California

EXTERNAL EMERGENCY Does your facility use Code Triage External for external emergencies?

71.6% 2009 67.9% 2011 2014

54.6%

40.0%

25.7% Hospital 2014 23.9%

Emergency Code Standardization Survey Standardization Code Emergency

5.4% 6.4% 4.5%

Code Triage Other Code No Code External

Hospital Council of Northern and Central California PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Does your facility use Code Silver for a person with a weapon, an active shooter, and/or hostage situation?

2009 88.8% 2011 2014 80.7%

60.8%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

25.4%

13.9% 10.1% 9.2% 5.6% 5.6%

Code Silver Other Code No Code

Hospital Council of Northern and Central California ACTIVE SHOOTER Does your facility have an emergency code designated solely for an active shooter event?

Yes, Code Silver 43.8%

No Code 38.2%

Plain Language 7.9%

2014 Hospital 2014 Code + plain 4.5% language

Emergency Code Standardization Survey Standardization Code Emergency

Yes, Other Code 3.4%

Yes, Code Black 2.2%

Hospital Council of Northern and Central California ACTIVE SHOOTER TRAINING Has your facility conducted classroom or online training for active shooter scenarios?

No 36.4% Yes 63.6%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Council of Northern and Central California ACTIVE SHOOTER EXERCISES Has your facility conducted a tabletop or functional training exercise for active shooter scenarios?

No 39.3% Yes 60.7%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Council of Northern and Central California ACTIVE SHOOTER: HAZARD VULNERABILITY ANALYSIS Does your facility HVA include the active shooter scenario as one of your listed risks?

Yes No 53.9% 46.1%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Council of Northern and Central California ACTIVE SHOOTER POLICY Does your facility active shooter policy call for "lockdown" or "shelter in place"? 47.2%

37.1%

15.7% Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Lockdown Shelter in Place N/A

Hospital Council of Northern and Central California ACTIVE SHOOTER INCIDENTS Has your facility ever had to activate the EOP for an actual active shooter incident?

Yes 14.8%

No 85.2%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

SECTION IV: Hospital Association of San Diego and Imperial Counties

14 HASDIC hospitals responded to the survey

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Association of San Diego and Imperial Counties FIRE Does your facility use code Red for fire?

100% 100% 100% 2009 2011 2014

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

0% 0% 0% Code Red Other Code

Hospital Association of San Diego and Imperial Counties

MEDICAL EMERGENCY – ADULT Does your facility use Code Blue for medical emergency (adult)?

2009 2011 100% 95.8% 2014

79.3%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

13.8% 6.9% 4.2% 0% 0% 0% Code Blue Other Code No Code

Hospital Association of San Diego and Imperial Counties

MEDICAL EMERGENCY – PEDIATRIC Does your facility use Code White for medical emergency (pediatric)?

2009 75.9% 2011 2014

57.1% 52.4%

28.6% 28.6% Survey Standardization Code EmergencyHospital 2014 24.1%

19.0% 14.3%

0% Code White Other Code No Code

Hospital Association of San Diego and Imperial Counties

INFANT ABDUCTION Does your facility use Code Pink for infant abduction?

2009 69.0% 2011 66.7% 2014 61.5%

38.5% 33.3%

2014 Hospital 2014

17.2% Survey Standardization Code Emergency 13.8%

0% 0% Code Pink Other Code No Code

Non-applicable survey responses have been excluded from this category. 68

Hospital Association of San Diego and Imperial Counties

CHILD ABDUCTION Does your facility use Code Purple for child abduction?

57.1% 2009 51.7% 2011 2014 46.2% 46.2% 42.9%

27.6%

20.7% Survey Standardization Code EmergencyHospital 2014

7.7%

0% Code Purple Other Code No Code

Non-applicable survey responses have been excluded from this category.

Hospital Association of San Diego and Imperial Counties

BOMB THREAT Does your facility use Code Yellow for bomb threat?

2009 2011 51.7% 50% 50% 2014

41.4%

33.3%

28.6%

21.4% Hospital 2014

16.7%

Emergency Code Standardization Survey Standardization Code Emergency

6.9%

Code Yellow Other Code No Code

Hospital Association of San Diego and Imperial Counties

COMBATIVE PERSON Does your facility use Code Gray for a combative person?

2009 69.0% 2011 2014

57.1% 54.2%

45.8% 42.9%

27.6% Survey Standardization Code EmergencyHospital 2014

3.5% 0% 0% Code Gray Other Code No Code

Hospital Association of San Diego and Imperial Counties HAZARDOUS MATERIALS Does your facility use Code Orange for hazardous materials?

2009 66.7% 2011 64.3% 2014

51.7%

34.5%

2014 Hospital 2014

21.4%

Emergency Code Standardization Survey Standardization Code Emergency 16.7% 17% 14.3% 13.8%

Code Orange Other Code No Code

Hospital Association of San Diego and Imperial Counties

PATIENT ELOPEMENT Does your facility use Code Green for patient elopement?

2009 79.3% 2011 2014

45.8%

35.7% 35.7%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014 29.2% 28.6% 25.0% 20.7%

0% Code Green Other Code No Code

Hospital Association of San Diego and Imperial Counties

EMERGENCY ALERT Does your facility use Code Triage Alert for emergency alert?

75.0% 71.4% 2009 2011 2014

55.0%

45.0%

2014 Hospital 2014

21.4%

16.7% Survey Standardization Code Emergency

8.3% 7.1%

0% Code Triage Alert Other Code No Code

Hospital Association of San Diego and Imperial Counties

INTERNAL EMERGENCY Does your facility use Code Triage Internal for internal emergencies?

79.3% 2009 2011 2014

50% 50%

42.9% 37.5%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

17.2% 12.5%

7.1% 3.5%

Code Triage Other Code No Code Internal

Hospital Association of San Diego and Imperial Counties

EXTERNAL EMERGENCY Does your facility use Code Triage External for external emergencies?

2009 86.2% 2011 2014

57.1% 54.2%

35.7% Hospital 2014 33.3%

Emergency Code Standardization Survey Standardization Code Emergency

12.5% 10.3% 7.1% 3.5%

Code Triage Other Code No Code External

Hospital Association of San Diego and Imperial Counties PERSON WITH A WEAPON and/or ACTIVE SHOOTER and/or HOSTAGE SITUATION Does your facility use Code Silver for a person with a weapon, an active shooter, and/or hostage situation?

79.3% 2009 2011 2014

62.5%

50% 50%

37.5%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

13.8%

6.9%

0% 0% Code Silver Other Code No Code

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER Does your facility have an emergency code designated solely for an active shooter event?

Yes, Code Silver 50.0%

No Code 35.7%

Plain Language 14.3%

Code + plain Hospital 2014 language 0%

Emergency Code Standardization Survey Standardization Code Emergency Yes, Other Code 0%

Yes, Code Black 0%

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER TRAINING Has your facility conducted classroom or online training for active shooter scenarios?

No 28.6% Yes 71.4%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER EXERCISES Has your facility conducted a tabletop or functional training exercise for active shooter scenarios?

No Yes 42.9% 57.1%

2014 Hospital 2014

Emergency Code Standardization Survey Standardization Code Emergency

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER: HAZARD VULNERABILITY ANALYSIS Does your facility HVA include the active shooter scenario as one of your listed risks?

Yes 42.9% No 57.1%

2014 Hospital Emergency Code Standardization Survey Standardization Code EmergencyHospital 2014

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER POLICY Does your facility active shooter policy call for "lockdown" or "shelter in place"?

71.4%

2014 Hospital 2014 21.4%

Emergency Code Standardization Survey Standardization Code Emergency

7.1%

Lockdown Shelter in Place N/A

Hospital Association of San Diego and Imperial Counties ACTIVE SHOOTER INCIDENTS Has your facility ever had to activate the EOP for an actual active shooter incident?

Yes 7.1%

92.9% Survey Standardization Code EmergencyHospital 2014