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Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical
T Grundgeiger1, M Albert1, D Reinhardt1
1Institute Human-Computer-Media, Julius-Maximilians-Universität Würzburg, Oswald-Külpe-Weg 82, 97074, Würzburg, Germany.
Summary
A new tablet application improved cardiopulmonary resuscitation (CPR) documentation quality by increasing the precision of intervention times and reducing documentation time. This real-time CPR documentation tool also positively impacted clinical performance by decreasing the no-flow fraction.
Area of Science:
- Medical Informatics
- Emergency Medicine
- Clinical Documentation
Background:
- Accurate in-hospital cardiopulmonary resuscitation (CPR) documentation is crucial, yet often suffers from poor data quality.
- Investigated the impact of a real-time, tablet-based CPR documentation application on documentation quality and emergency team clinical performance.
Purpose of the Study:
- To evaluate the effect of a tablet-based application for real-time resuscitation documentation on documentation quality and clinical performance.
- To compare the tablet application against the traditional hospital information system for documentation and clinical outcomes.
Main Methods:
- Senior anaesthesiologists used either a tablet application for real-time and final documentation or a hospital information system for final documentation post-simulation.
- Simulated resuscitation scenarios were video recorded to assess documentation precision, completeness, and time.
- Clinical performance was evaluated by comparing adherence to defibrillation and adrenaline administration guidelines, no-flow fraction, and time to first defibrillation.
Main Results:
- The tablet application significantly improved the precision of intervention delivery times and reduced final documentation time.
- A significant reduction in the no-flow fraction was observed with the tablet application.
- No significant differences were found in documentation completeness or adherence to defibrillation and adrenaline guidelines between the groups.
Conclusions:
- Tablet-based applications can enhance the quality of CPR documentation data.
- Real-time use of a well-designed application by emergency team members can positively influence clinical performance without compromise.
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