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Titre : | A comparison of paper documentation to electronic documentation for trauma resuscitations at a level I pediatric trauma center (2015) |
Auteurs : | Carla Coffey, Auteur ; Lee Ann Wurster, Auteur ; Jonathan Groner, Auteur |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 41, n°1, January 2015) |
Article en page(s) : | p. 52-56 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Archives ; Documentation ; Dossier médical ; Information ; Réanimation ; Recherche ; Sécurité |
Résumé : |
Introduction
Although the electronic medical record reduces errors and improves patient safety, most emergency departments continue to use paper documentation for trauma resuscitations. The purpose of this study was to compare the completeness of paper documentation with that of electronic documentation for trauma resuscitations. Methods The setting was a level I pediatric trauma center where 100% electronic documentation was achieved in August 2012. A random sample of trauma resuscitations documented by paper (n = 200) was compared with a random sample of trauma resuscitations documented electronically (n = 200) to identify the presence or absence of the documentation of 11 key data elements for each trauma resuscitation. Results The electronic documentation more frequently captured 5 data elements: time of team activation (100% vs 85%, P Discussion Electronic documentation produced superior records of pediatric trauma resuscitations compared with paper documentation. Because the electronic medical record improves patient safety, it should be adopted as the standard documentation method for all trauma resuscitations. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |