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Accuracy of real-time delivery room resuscitation documentation. | LitMetric

Accuracy of real-time delivery room resuscitation documentation.

Arch Dis Child Fetal Neonatal Ed

Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

Published: March 2020

AI Article Synopsis

  • - The study examined how accurately resuscitation actions in delivery rooms are documented in real time compared to video recordings.
  • - Conducted in a Level 3 neonatal intensive care unit, the research focused on 50 infants whose resuscitation processes were video recorded to evaluate documentation accuracy.
  • - Findings showed that while documentation accurately reflected respiratory support, procedures, and medications (up to 100% accuracy), early vital sign assessments were less precise, with only 77% of recorded heart rates being correct.

Article Abstract

Objective: To assess the accuracy of real-time delivery room resuscitation documentation.

Design: Retrospective observational study.

Setting: Level 3 academic neonatal intensive care unit.

Participants: Fifty infants with video recording of neonatal resuscitation.

Main Outcome Measures: Vital sign assessments and interventions performed during resuscitation. The accuracy of written documentation was compared with video gold standard.

Results: Timing of initial heart rate assessment agreed with video in 44/50 (88%) records; the documented heart rate was correct in 34/44 (77%) of these. Heart rate and oxygen saturation were documented at 5 min of life in 90% of resuscitations. Of these, 100% of heart rate and 93% of oxygen saturation values were correctly recorded. Written records accurately reflected the mode(s) of respiratory support for 89%-100%, procedures for 91%-100% and medications for 100% of events.

Conclusion: Real-time documentation correctly reflects interventions performed during delivery room resuscitation but is less accurate for early vital sign assessments.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534487PMC
http://dx.doi.org/10.1136/archdischild-2018-315723DOI Listing

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