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Observational Study
. 2020 Mar;105(2):222-224.
doi: 10.1136/archdischild-2018-315723. Epub 2018 Nov 24.

Accuracy of real-time delivery room resuscitation documentation

Claire E Fishman  1 , Danielle D Weinberg  2 , Ashley Murray  3 , Elizabeth E Foglia  1   2
Affiliations
Observational Study

Accuracy of real-time delivery room resuscitation documentation

Claire E Fishman et al. Arch Dis Child Fetal Neonatal Ed. 2020 Mar.

Abstract

Objective: To assess the accuracy of real-time delivery room resuscitation documentation.

Design: Retrospective observational study.

Setting: Level 3 academic neonatal intensive care unit.

Participants: Fifty infants with video recording of neonatal resuscitation.

Main outcome measures: Vital sign assessments and interventions performed during resuscitation. The accuracy of written documentation was compared with video gold standard.

Results: Timing of initial heart rate assessment agreed with video in 44/50 (88%) records; the documented heart rate was correct in 34/44 (77%) of these. Heart rate and oxygen saturation were documented at 5 min of life in 90% of resuscitations. Of these, 100% of heart rate and 93% of oxygen saturation values were correctly recorded. Written records accurately reflected the mode(s) of respiratory support for 89%-100%, procedures for 91%-100% and medications for 100% of events.

Conclusion: Real-time documentation correctly reflects interventions performed during delivery room resuscitation but is less accurate for early vital sign assessments.

Keywords: neonatology; resuscitation.

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Conflict of interest statement

Competing interests: None declared.

References

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