Work

Accuracy of real-time delivery room resuscitation documentation

Year: 2018

Type: 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.

Source: Archives of Disease in Childhood Fetal & Neonatal

DOI: 10.1136/archdischild-2018-315723

Authors: Claire E Fishman, Danielle D Weinberg, Ashley Murray, Elizabeth E Foglia

Institutions: University of Pennsylvania, Children's Hospital of Philadelphia, Hospital of the University of Pennsylvania

Language: English

Topic: Nursing Diagnosis and Documentation

Subfield: Issues, ethics and legal aspects

Field: Nursing

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: Eunice Kennedy Shriver National Institute of Child Health and Human Development