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Emerg Med J. 2013 Apr;30(4):324-6. doi: 10.1136/emermed-2011-200715. Epub 2012 Apr 13.

Improving documentation in prehospital rapid sequence intubation: investigating the use of a dedicated airway registry form.

Author information

1
Greater Sydney Area Helicopter Emergency Medical Service, Ambulance Service of NSW, Sydney, NSW 2200, Australia. rogerbloomer@hotmail.com

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.

PMID:
22505304
DOI:
10.1136/emermed-2011-200715
[Indexed for MEDLINE]
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