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Accuracy of real-time delivery room resuscitation documentation.


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.

SUBMITTER: Fishman CE 

PROVIDER: S-EPMC6534487 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Accuracy of real-time delivery room resuscitation documentation.

Fishman Claire E CE   Weinberg Danielle D DD   Murray Ashley A   Foglia Elizabeth E EE  

Archives of disease in childhood. Fetal and neonatal edition 20181124 2


<h4>Objective</h4>To assess the accuracy of real-time delivery room resuscitation documentation.<h4>Design</h4>Retrospective observational study.<h4>Setting</h4>Level 3 academic neonatal intensive care unit.<h4>Participants</h4>Fifty infants with video recording of neonatal resuscitation.<h4>Main outcome measures</h4>Vital sign assessments and interventions performed during resuscitation. The accuracy of written documentation was compared with video gold standard.<h4>Results</h4>Timing of initia  ...[more]

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