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Managing Behaviours of Concern in our Emergency Departments

February 03, 2021

Code Greys – How are we doing?

It might be strange to think that one of the main aims of introducing the ‘BOC Chart’ was to increase the number of Code Greys in our Emergency Departments.  But in improving our early identification and escalation, it was expected that we would call Code Greys more often.

Figure 1, and Figure 2, detail the impact of the introduction of the BOC chart. The net impact has been a move to proactive management, with more Planned (proactive) Code Greys and less unplanned (reactive) Code Greys. 


Figure 1 – Emergency Department  unplanned Code Greys January 2018 to December 2020

Figure 2 – Emergency Department  planned Code Greys January 2018 to December 2020

Like or Dislike?

We really like this data. It tells a story of proactive management of patients who are displaying behaviours of concerns.  It tells us that all Emergency Department staff have worked really hard to adopt the BOC Chart and embed it in their daily clinical practice.

By implementing this change we have made our emergency departments a safer place to work.  We have also been world-leading in this work, and inspired other services, including Ambulance Victoria, to adopt similar strategies.