Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form
Objective The quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid s...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2013-04, Vol.30 (4), p.324-326 |
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| container_title | Emergency medicine journal : EMJ |
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| creator | Bloomer, Roger Burns, Brian J Ware, Sandra |
| description | Objective The quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid sequence intubation. Methods A retrospective review and comparison of 96 cases predating the introduction of the ARF and 90 cases immediately following its introduction were performed. Results The introduction of the ARF yielded significant improvement in the recording of selected data points: difficult airway indicators (p |
| doi_str_mv | 10.1136/emermed-2011-200715 |
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This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid sequence intubation. Methods A retrospective review and comparison of 96 cases predating the introduction of the ARF and 90 cases immediately following its introduction were performed. Results The introduction of the ARF yielded significant improvement in the recording of selected data points: difficult airway indicators (p<0.0001), Cormack–Lehane grade of laryngoscopy at first attempt (p<0.0001), documentation of confirmation of tracheal intubation with end-tidal carbon dioxide monitoring (p=0.015) and recording of intubator's details (p<0.0001). Conclusions This study validates the use of a dedicated ARF for the improvement of documentation and data collection related to prehospital rapid sequence intubation when compared with post-event extraction of data from a generic case-record.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emermed-2011-200715</identifier><identifier>PMID: 22505304</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><subject>Airway management ; anaesthesia ; critical care transport ; Data collection ; doctors in PHC ; Documentation ; Documentation - methods ; Documentation - standards ; Emergency Medical Services - standards ; Head injuries ; helicopter retrieval ; Humans ; Hypotheses ; Intubation ; Intubation, Intratracheal ; management ; Medical Records - standards ; prehospital care ; Prehospital emergency care ; quality assurance ; Quality Improvement - organization & administration ; rapid sequence intubation ; Retrospective Studies ; Studies ; trauma</subject><ispartof>Emergency medicine journal : EMJ, 2013-04, Vol.30 (4), p.324-326</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2013 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b455t-4d2b4c64c538f4126d4647dc88969554f47b7eaadd057861ef7b7641a349457b3</citedby><cites>FETCH-LOGICAL-b455t-4d2b4c64c538f4126d4647dc88969554f47b7eaadd057861ef7b7641a349457b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/30/4/324.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/30/4/324.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,315,781,785,3197,23576,27929,27930,77605,77636</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22505304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bloomer, Roger</creatorcontrib><creatorcontrib>Burns, Brian J</creatorcontrib><creatorcontrib>Ware, Sandra</creatorcontrib><title>Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form</title><title>Emergency medicine journal : EMJ</title><addtitle>Emerg Med J</addtitle><description>Objective The quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid sequence intubation. Methods A retrospective review and comparison of 96 cases predating the introduction of the ARF and 90 cases immediately following its introduction were performed. Results The introduction of the ARF yielded significant improvement in the recording of selected data points: difficult airway indicators (p<0.0001), Cormack–Lehane grade of laryngoscopy at first attempt (p<0.0001), documentation of confirmation of tracheal intubation with end-tidal carbon dioxide monitoring (p=0.015) and recording of intubator's details (p<0.0001). Conclusions This study validates the use of a dedicated ARF for the improvement of documentation and data collection related to prehospital rapid sequence intubation when compared with post-event extraction of data from a generic case-record.</description><subject>Airway management</subject><subject>anaesthesia</subject><subject>critical care transport</subject><subject>Data collection</subject><subject>doctors in PHC</subject><subject>Documentation</subject><subject>Documentation - methods</subject><subject>Documentation - standards</subject><subject>Emergency Medical Services - standards</subject><subject>Head injuries</subject><subject>helicopter retrieval</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Intubation</subject><subject>Intubation, Intratracheal</subject><subject>management</subject><subject>Medical Records - standards</subject><subject>prehospital care</subject><subject>Prehospital emergency care</subject><subject>quality assurance</subject><subject>Quality Improvement - organization & administration</subject><subject>rapid sequence intubation</subject><subject>Retrospective Studies</subject><subject>Studies</subject><subject>trauma</subject><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkUtv1DAUhS0EoqXwC5CQJTZsUvx2wg4N9CEq2ECR2FhOfDP1MImD7RRG_Hk8ZNoFKzb2vTrfPbr2Qeg5JaeUcvUaBogDuIoRSstBNJUP0DEVmlWEUf7wvibyCD1JaUMIlY2oH6MjxiSRnIhj9PtymGK49eMau9DNA4zZZh9G7Ec8RbgJafLZbnG0k3c4wY8Zxg6Kmuf2L_im1LeQsl-XtrjkG8BzAhx6bLED5zubwWHr40-7wxHWPuW4w32Iw1P0qLfbBM8O9wn6cvb-8-qiuvp0frl6e1W1QspcCcda0SnRSV73gjLlhBLadXXdqEZK0QvdarDWOSJ1rSj0pVeCWi4aIXXLT9Crxbe8tOyfshl86mC7tSOEORnKaa0aompa0Jf_oJswx7FsZ6iuCWGKiD3FF6qLIaUIvZmiH2zcGUrMPhtzyMbsszFLNmXqxcF7bvfa3cxdGAWoFqB8Efy61238bpTmWpqP1ytzwc6_Xn97d2Y-FP504dth818b_AHNTKsB</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Bloomer, Roger</creator><creator>Burns, Brian J</creator><creator>Ware, Sandra</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form</title><author>Bloomer, Roger ; Burns, Brian J ; Ware, Sandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b455t-4d2b4c64c538f4126d4647dc88969554f47b7eaadd057861ef7b7641a349457b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Airway management</topic><topic>anaesthesia</topic><topic>critical care transport</topic><topic>Data collection</topic><topic>doctors in PHC</topic><topic>Documentation</topic><topic>Documentation - methods</topic><topic>Documentation - standards</topic><topic>Emergency Medical Services - standards</topic><topic>Head injuries</topic><topic>helicopter retrieval</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Intubation</topic><topic>Intubation, Intratracheal</topic><topic>management</topic><topic>Medical Records - standards</topic><topic>prehospital care</topic><topic>Prehospital emergency care</topic><topic>quality assurance</topic><topic>Quality Improvement - organization & administration</topic><topic>rapid sequence intubation</topic><topic>Retrospective Studies</topic><topic>Studies</topic><topic>trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bloomer, Roger</creatorcontrib><creatorcontrib>Burns, Brian J</creatorcontrib><creatorcontrib>Ware, Sandra</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Proquest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bloomer, Roger</au><au>Burns, Brian J</au><au>Ware, Sandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><addtitle>Emerg Med J</addtitle><date>2013-04</date><risdate>2013</risdate><volume>30</volume><issue>4</issue><spage>324</spage><epage>326</epage><pages>324-326</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>Objective The quality of medical documentation is integral to audit, clinical governance, education, medico-legal aspects and continuity of patient care. This study aims to investigate the introduction of a dedicated ‘Airway Registry Form’ (ARF) on the quality of documentation in prehospital rapid sequence intubation. Methods A retrospective review and comparison of 96 cases predating the introduction of the ARF and 90 cases immediately following its introduction were performed. Results The introduction of the ARF yielded significant improvement in the recording of selected data points: difficult airway indicators (p<0.0001), Cormack–Lehane grade of laryngoscopy at first attempt (p<0.0001), documentation of confirmation of tracheal intubation with end-tidal carbon dioxide monitoring (p=0.015) and recording of intubator's details (p<0.0001). Conclusions This study validates the use of a dedicated ARF for the improvement of documentation and data collection related to prehospital rapid sequence intubation when compared with post-event extraction of data from a generic case-record.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</pub><pmid>22505304</pmid><doi>10.1136/emermed-2011-200715</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Airway management anaesthesia critical care transport Data collection doctors in PHC Documentation Documentation - methods Documentation - standards Emergency Medical Services - standards Head injuries helicopter retrieval Humans Hypotheses Intubation Intubation, Intratracheal management Medical Records - standards prehospital care Prehospital emergency care quality assurance Quality Improvement - organization & administration rapid sequence intubation Retrospective Studies Studies trauma |
| title | Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form |
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