Authors (including presenting author) :
Cheung K(1), Yip C S(2)
Affiliation :
(1) School of Nursing, The Hong Kong Polytechnic University, Hong Kong,
(2) Department of Accident & Emergency, Tuen Mun Hospital
Introduction :
A thorough documentation of critical events during resuscitation is essential. However, missing data is common among resuscitation documentation. Traditionally, documentation of resuscitation events is paper-based. The advent of high processing power tablet allows for real-time documentation with user support features supersedes/ exceeds paper-based document.
Objectives :
To compare the level of documentation completeness between paper-based and tablet-based resuscitation documentation.
Methodology :
A randomized retrospective method was adopted. Paper resuscitation record after implementation of tablet-based documentation (Post-App Paper) (n=176) and tablet-based resuscitation records (Post-App Electronic) (n=176) were reviewed using a documentation completeness checklist. The checklist encompassed 5 domains of resuscitation documentation including 1) basic information, 2) vital signs, 3) procedures, 4) investigations, and 5) medication.
Result & Outcome :
The Post-App Electronic group was found to have significantly higher level of documentation completeness in all 5 domains compared to Post-App Electronic group (p < 0.001, Chi-squared test). Higher level of documentation completeness was achieved using novel tablet-based resuscitation record compare to traditional paper resuscitation record.
