UNASSIGNED: We used a systematic retrospective chart review to compare written with video documentation in 100 consecutive prehospital RSI encounters in a single EMS agency.
UNASSIGNED: Of the patient care records (PCRs), only 6% matched the video record for all quality measures tracked. The largest reason for the discrepancy was in the time required to intubate (58%) whether LEMON was evaluated (42%), total number of intubation attempts (36%), first attempt success (24%), BVM used (18%), and whether an airway introducer device was used (12%).
UNASSIGNED: Written documentation is inaccurate compared to video documentation when used as a quality improvement process for EMS prehospital RSI encounters.
■我们使用了系统的回顾性图表审查,比较了在单个EMS机构中连续100次院前RSI遇到的视频文档。
■在患者护理记录(PCRs)中,对于所有跟踪的质量指标,只有6%与视频记录相匹配。差异的最大原因是插管所需的时间(58%)是否评估了LEMON(42%),插管尝试总数(36%),首次尝试成功(24%),使用BVM(18%),以及是否使用了气道导入器(12%).
■当书面文档用作EMS院前RSI遇到的质量改进过程时,与视频文档相比,书面文档不准确。