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Accuracy and Efficiency of Recording Pediatric Early Warning Scores Using an Electronic Physiological Surveillance System Compared With Traditional Paper-Based Documentation
- Source :
- Computers, Informatics, Nursing, CIN-COMPUTERS INFORMATICS NURSING
- Publication Year :
- 2017
- Publisher :
- Lippincott Williams & Wilkins, 2017.
-
Abstract
- Pediatric Early Warning Scores are advocated to assist health professionals to identify early signs of serious illness or deterioration in hospitalized children. Scores are derived from the weighting applied to recorded vital signs and clinical observations reflecting deviation from a predetermined "norm." Higher aggregate scores trigger an escalation in care aimed at preventing critical deterioration. Process errors made while recording these data, including plotting or calculation errors, have the potential to impede the reliability of the score. To test this hypothesis, we conducted a controlled study of documentation using five clinical vignettes. We measured the accuracy of vital sign recording, score calculation, and time taken to complete documentation using a handheld electronic physiological surveillance system, VitalPAC Pediatric, compared with traditional paper-based charts. We explored the user acceptability of both methods using a Web-based survey. Twenty-three staff participated in the controlled study. The electronic physiological surveillance system improved the accuracy of vital sign recording, 98.5% versus 85.6%, P < .02, Pediatric Early Warning Score calculation, 94.6% versus 55.7%, P < .02, and saved time, 68 versus 98 seconds, compared with paper-based documentation, P < .002. Twenty-nine staff completed the Web-based survey. They perceived that the electronic physiological surveillance system offered safety benefits by reducing human error while providing instant visibility of recorded data to the entire clinical team.
- Subjects :
- Organizational Behavior and Human Resource Management
Nursing (miscellaneous)
Time Factors
Strategy and Management
Human error
MEDLINE
Vital signs
Pharmaceutical Science
Health Informatics
Observation
Documentation
B700
03 medical and health sciences
0302 clinical medicine
Nursing
030225 pediatrics
Surveys and Questionnaires
Drug Discovery
Medicine
Health Status Indicators
Humans
030212 general & internal medicine
Diagnosis, Computer-Assisted
Prospective Studies
Reliability (statistics)
Features
Monitoring, Physiologic
Marketing
Pharmacology
Pediatric
Warning system
business.industry
Vital Signs
Reproducibility of Results
B730
medicine.disease
Early warning score
e-Observations
Test (assessment)
VitalPAC
England
Medical emergency
business
Subjects
Details
- Language :
- English
- ISSN :
- 15389774 and 15382931
- Volume :
- 35
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Computers, Informatics, Nursing
- Accession number :
- edsair.doi.dedup.....4d2a8c9a2fb0efd7f22e5b80acfab863