Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance
Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance
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DOI：
10.1186/s13049-016-0242-3
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发表时间：
2016-04-16
影响因子：
3.3
通讯作者：
Wurmb, T.
中科院分区：
文献类型：
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作者：
Grundgeiger, T.;Albert, M.;Wurmb, T.
背景：准确和完整的住院心肺复苏记录很重要，但数据质量可能较差。在本研究中，我们调查了急救小组负责人使用的基于平板电脑的实时复苏文件应用程序对急救小组文件质量和临床表现的影响。方法：高级麻醉师在模拟复苏过程中使用基于片剂的应用程序进行记录，并使用该应用程序进行最终记录，或在场景结束时使用当地医院信息系统进行完整记录。后一个过程表示当前的本地文档方法。所有的场景都被录像了。为了评估文档，我们比较了干预交付时间的准确性、文档完整性和最终文档时间。为了评估临床表现，我们比较了除颤和肾上腺素给药指南的依从性、无血流分数和首次除颤时间。结果：结果显示，与医院信息系统相比，基于平板电脑的应用程序在干预交付时间、最终文件记录时间和无流量分数的准确性方面具有显著优势。我们观察到两组在文件的完整性、对除颤和肾上腺素给药指南的依从性以及首次除颤的时间方面没有差异。讨论：在本研究中，我们观察到基于平板电脑的应用程序可以提高文档数据质量。此外，我们证明了一个设计良好的应用程序可以被急救小组的成员实时使用，并可能对临床表现产生有益的影响。结论：目前的评估证实了基于平板电脑的文档工具的优势，也表明该应用程序可以由急救小组的活跃成员使用，而不会影响临床表现。
Background: Precise and complete documentation of in-hospital cardiopulmonary resuscitations is important but data quality can be poor. In the present study, we investigated the effect of a tablet-based application for real-time resuscitation documentation used by the emergency team leader on documentation quality and clinical performance of the emergency team.Methods: Senior anaesthesiologists either used the tablet-based application during the simulated resuscitation for documentation and also used the application for the final documentation or conducted the full documentation at the end of the scenario using the local hospital information system. The latter procedure represents the current local documentation method. All scenarios were video recorded. To assess the documentation, we compared the precision of intervention delivery times, documentation completeness, and final documentation time. To assess clinical performance, we compared adherence to guidelines for defibrillation and adrenaline administration, the no-flow fraction, and the time to first defibrillation.Results: The results showed significant benefits for the tablet-based application compared to the hospital information system for precision of the intervention delivery times, the final documentation time, and the no-flow fraction. We observed no differences between the groups for documentation completeness, adherence to guidelines for defibrillation and adrenaline administration, and the time to first defibrillation.Discussion: In the presented study, we observed that a tablet-based application can improve documentation data quality. Furthermore, we demonstrated that a well-designed application can be used in real-time by a member of the emergency team with possible beneficial effects on clinical performance.Conclusion: The present evaluation confirms the advantage of tablet-based documentation tools and also shows that the application can be used by an active member of an emergency team without compromising clinical performance.