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INTRODUCTION: The blue code can be defined as an emergency call and guidance system for intervening the patient in a short time in the case of cardiopulmonary arrest in-hospital. The aim of our study is to examine the application of Blue Code Call System in our hospital and to evaluate the suitability of the calls and find solutions to the detected problems. METHODS: This is a retrospective study of blue code calls between January 2015 and January 2018 in which a blue code activation unit was established at a tertiary University Hospital. RESULTS: Of the 243 calls which were evaluated between January 2015 - January 2018, 97 (39.91%) were given for patient relatives and 146 (60.09%) were given for patients. When the clinical status and outcome of 243 calls given by the blue code activation system were evaluated, it was determined that 103 of them were suitable, and 140 of them were inappropriate calls. 31 cardiopulmonary arrest, 2 anaphylactic reactions, 3 pulseless ventricular tachycardia and 3 myocardial infarction patients were found to have cardiopulmonary resussitation (CPR). When the outcomes of the patients were investigated; it was determined that 140 patients were discharged, 47 patients were admitted to related services, 38 patients were admitted to intensive care unit, 7 patients were referred to external centers for intensive care unit, and 11 patients were accepted as exitus. DISCUSSION AND CONCLUSION: Rapid recognition of in-hospital cardiopulmoner arrests, early intervention and a trained, experienced team provide a significant increase in the survival rate of patients.