How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement?
The authors’ goal was to determine the rate at which emergency physicians document confirmation of endotracheal tube (ET) placement. The study was conducted in a 60 000-visit emergency department (ED) of an urban tertiary referral hospital. The authors’ airway registry database was used to identify...
Gespeichert in:
Veröffentlicht in: | American journal of medical quality 2011-07, Vol.26 (4), p.300-307 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 307 |
---|---|
container_issue | 4 |
container_start_page | 300 |
container_title | American journal of medical quality |
container_volume | 26 |
creator | Phelan, Michael P. Glauser, Jonathan Wickline, Donald Schrump, Stefanie Gaber-Patel, Karen Joyce, Maureen |
description | The authors’ goal was to determine the rate at which emergency physicians document confirmation of endotracheal tube (ET) placement. The study was conducted in a 60 000-visit emergency department (ED) of an urban tertiary referral hospital. The authors’ airway registry database was used to identify patients requiring airway management; 433 patients met study criteria, 281 (65%) were intubated in the ED, and 152 (35%) were intubated prior to arrival. ET confirmation was documented for 270 (96%) patients intubated in the ED and 52 (34%) patients intubated before arrival (P < .0001).The rate was higher for patients intubated by emergency medical services (40/64 [63%]) than for interhospital transfers (12/88 [14%]) (P < .0001). Documentation of ET placement has implications for patient care and safety. This study indicates that educational interventions are warranted to improve physicians’ awareness of the importance of documenting correct tube placement. |
doi_str_mv | 10.1177/1062860610395008 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_877413484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1062860610395008</sage_id><sourcerecordid>877413484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c336t-91ea797443c38cd792bae875ce5fd16bbf2f6d669663f2f02f9a17689e2536e23</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMoPkb3riQ7V9W8k65ExtERBpyFr11J01uttI0mLTL_3gyjLgRX93Lvdw6cg9AxJWeUan1OiWJGEUUJzyUhZgvtUyllZph43k57emfr_x46iPGNECaloLtoj1FhNJF0Hz3O_Sd-grbFVx7POggv0LsVXr6uYuMa28d0d2MH_YCnvq-b0Nmh8T32NZ71lR-Cda9gW3w_loCXrXWwZi8O0U5t2whH33OCHq5n99N5tri7uZ1eLjLHuRqynILVuRaCO25cpXNWWjBaOpB1RVVZ1qxWlVK5UjythNW5pVqZHJjkChifoNON73vwHyPEoeia6FIc24MfY2G0FpQLIxJJNqQLPsYAdfEems6GVUFJsS6z-Ftmkpx8m49lB9Wv4Ke9BGQbINoXKN78GPoU9n_DL1ure2w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>877413484</pqid></control><display><type>article</type><title>How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement?</title><source>MEDLINE</source><source>SAGE Complete</source><creator>Phelan, Michael P. ; Glauser, Jonathan ; Wickline, Donald ; Schrump, Stefanie ; Gaber-Patel, Karen ; Joyce, Maureen</creator><creatorcontrib>Phelan, Michael P. ; Glauser, Jonathan ; Wickline, Donald ; Schrump, Stefanie ; Gaber-Patel, Karen ; Joyce, Maureen</creatorcontrib><description>The authors’ goal was to determine the rate at which emergency physicians document confirmation of endotracheal tube (ET) placement. The study was conducted in a 60 000-visit emergency department (ED) of an urban tertiary referral hospital. The authors’ airway registry database was used to identify patients requiring airway management; 433 patients met study criteria, 281 (65%) were intubated in the ED, and 152 (35%) were intubated prior to arrival. ET confirmation was documented for 270 (96%) patients intubated in the ED and 52 (34%) patients intubated before arrival (P < .0001).The rate was higher for patients intubated by emergency medical services (40/64 [63%]) than for interhospital transfers (12/88 [14%]) (P < .0001). Documentation of ET placement has implications for patient care and safety. This study indicates that educational interventions are warranted to improve physicians’ awareness of the importance of documenting correct tube placement.</description><identifier>ISSN: 1062-8606</identifier><identifier>EISSN: 1555-824X</identifier><identifier>DOI: 10.1177/1062860610395008</identifier><identifier>PMID: 21487051</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Data Collection - methods ; Documentation - standards ; Emergency Service, Hospital ; Humans ; Intubation, Intratracheal - utilization ; Physician's Role ; Registries</subject><ispartof>American journal of medical quality, 2011-07, Vol.26 (4), p.300-307</ispartof><rights>2011 by the American College of Medical Quality</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-91ea797443c38cd792bae875ce5fd16bbf2f6d669663f2f02f9a17689e2536e23</citedby><cites>FETCH-LOGICAL-c336t-91ea797443c38cd792bae875ce5fd16bbf2f6d669663f2f02f9a17689e2536e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1062860610395008$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1062860610395008$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21487051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phelan, Michael P.</creatorcontrib><creatorcontrib>Glauser, Jonathan</creatorcontrib><creatorcontrib>Wickline, Donald</creatorcontrib><creatorcontrib>Schrump, Stefanie</creatorcontrib><creatorcontrib>Gaber-Patel, Karen</creatorcontrib><creatorcontrib>Joyce, Maureen</creatorcontrib><title>How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement?</title><title>American journal of medical quality</title><addtitle>Am J Med Qual</addtitle><description>The authors’ goal was to determine the rate at which emergency physicians document confirmation of endotracheal tube (ET) placement. The study was conducted in a 60 000-visit emergency department (ED) of an urban tertiary referral hospital. The authors’ airway registry database was used to identify patients requiring airway management; 433 patients met study criteria, 281 (65%) were intubated in the ED, and 152 (35%) were intubated prior to arrival. ET confirmation was documented for 270 (96%) patients intubated in the ED and 52 (34%) patients intubated before arrival (P < .0001).The rate was higher for patients intubated by emergency medical services (40/64 [63%]) than for interhospital transfers (12/88 [14%]) (P < .0001). Documentation of ET placement has implications for patient care and safety. This study indicates that educational interventions are warranted to improve physicians’ awareness of the importance of documenting correct tube placement.</description><subject>Data Collection - methods</subject><subject>Documentation - standards</subject><subject>Emergency Service, Hospital</subject><subject>Humans</subject><subject>Intubation, Intratracheal - utilization</subject><subject>Physician's Role</subject><subject>Registries</subject><issn>1062-8606</issn><issn>1555-824X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLxDAUhYMoPkb3riQ7V9W8k65ExtERBpyFr11J01uttI0mLTL_3gyjLgRX93Lvdw6cg9AxJWeUan1OiWJGEUUJzyUhZgvtUyllZph43k57emfr_x46iPGNECaloLtoj1FhNJF0Hz3O_Sd-grbFVx7POggv0LsVXr6uYuMa28d0d2MH_YCnvq-b0Nmh8T32NZ71lR-Cda9gW3w_loCXrXWwZi8O0U5t2whH33OCHq5n99N5tri7uZ1eLjLHuRqynILVuRaCO25cpXNWWjBaOpB1RVVZ1qxWlVK5UjythNW5pVqZHJjkChifoNON73vwHyPEoeia6FIc24MfY2G0FpQLIxJJNqQLPsYAdfEems6GVUFJsS6z-Ftmkpx8m49lB9Wv4Ke9BGQbINoXKN78GPoU9n_DL1ure2w</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Phelan, Michael P.</creator><creator>Glauser, Jonathan</creator><creator>Wickline, Donald</creator><creator>Schrump, Stefanie</creator><creator>Gaber-Patel, Karen</creator><creator>Joyce, Maureen</creator><general>SAGE Publications</general><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>7X8</scope></search><sort><creationdate>201107</creationdate><title>How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement?</title><author>Phelan, Michael P. ; Glauser, Jonathan ; Wickline, Donald ; Schrump, Stefanie ; Gaber-Patel, Karen ; Joyce, Maureen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-91ea797443c38cd792bae875ce5fd16bbf2f6d669663f2f02f9a17689e2536e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Data Collection - methods</topic><topic>Documentation - standards</topic><topic>Emergency Service, Hospital</topic><topic>Humans</topic><topic>Intubation, Intratracheal - utilization</topic><topic>Physician's Role</topic><topic>Registries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phelan, Michael P.</creatorcontrib><creatorcontrib>Glauser, Jonathan</creatorcontrib><creatorcontrib>Wickline, Donald</creatorcontrib><creatorcontrib>Schrump, Stefanie</creatorcontrib><creatorcontrib>Gaber-Patel, Karen</creatorcontrib><creatorcontrib>Joyce, Maureen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of medical quality</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phelan, Michael P.</au><au>Glauser, Jonathan</au><au>Wickline, Donald</au><au>Schrump, Stefanie</au><au>Gaber-Patel, Karen</au><au>Joyce, Maureen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement?</atitle><jtitle>American journal of medical quality</jtitle><addtitle>Am J Med Qual</addtitle><date>2011-07</date><risdate>2011</risdate><volume>26</volume><issue>4</issue><spage>300</spage><epage>307</epage><pages>300-307</pages><issn>1062-8606</issn><eissn>1555-824X</eissn><abstract>The authors’ goal was to determine the rate at which emergency physicians document confirmation of endotracheal tube (ET) placement. The study was conducted in a 60 000-visit emergency department (ED) of an urban tertiary referral hospital. The authors’ airway registry database was used to identify patients requiring airway management; 433 patients met study criteria, 281 (65%) were intubated in the ED, and 152 (35%) were intubated prior to arrival. ET confirmation was documented for 270 (96%) patients intubated in the ED and 52 (34%) patients intubated before arrival (P < .0001).The rate was higher for patients intubated by emergency medical services (40/64 [63%]) than for interhospital transfers (12/88 [14%]) (P < .0001). Documentation of ET placement has implications for patient care and safety. This study indicates that educational interventions are warranted to improve physicians’ awareness of the importance of documenting correct tube placement.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>21487051</pmid><doi>10.1177/1062860610395008</doi><tpages>8</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1062-8606 |
ispartof | American journal of medical quality, 2011-07, Vol.26 (4), p.300-307 |
issn | 1062-8606 1555-824X |
language | eng |
recordid | cdi_proquest_miscellaneous_877413484 |
source | MEDLINE; SAGE Complete |
subjects | Data Collection - methods Documentation - standards Emergency Service, Hospital Humans Intubation, Intratracheal - utilization Physician's Role Registries |
title | How Well Do Emergency Physicians Document Confirmation of Endotracheal Tube Placement? |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T03%3A24%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=How%20Well%20Do%20Emergency%20Physicians%20Document%20Confirmation%20of%20Endotracheal%20Tube%20Placement?&rft.jtitle=American%20journal%20of%20medical%20quality&rft.au=Phelan,%20Michael%20P.&rft.date=2011-07&rft.volume=26&rft.issue=4&rft.spage=300&rft.epage=307&rft.pages=300-307&rft.issn=1062-8606&rft.eissn=1555-824X&rft_id=info:doi/10.1177/1062860610395008&rft_dat=%3Cproquest_cross%3E877413484%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=877413484&rft_id=info:pmid/21487051&rft_sage_id=10.1177_1062860610395008&rfr_iscdi=true |