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Recording signs of ...
Recording signs of deterioration in acute patients : The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest
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- Stevenson-Ågren, Jean (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),University of Sheffield, UK,iCARE
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- Israelsson, Johan (author)
- Kalmar County Hospital, Sweden,iCARE,Linnaeus University, Sweden
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- Nilsson, Gunilla (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),iCARE,Linnaeus University, Sweden
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- Petersson, Göran (author)
- Linnéuniversitetet,Institutionen för medicin och optometri (MEO),eHälsoinstitutet;eHealth Institute;iCARE;DISA;DISA-IDP
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- Bath, Peter (author)
- University of Sheffield, UK
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- Stevenson, Jean E (author)
- University of Sheffield, UK; Linnaeus University, Sweden
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(creator_code:org_t)
- 2014-04-29
- 2016
- English.
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In: Health Informatics Journal. - : Sage Publications. - 1460-4582 .- 1741-2811. ; 22:1, s. 21-33
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Vital sign documentation is crucial to detecting patient deterioration. Little is known about the documentation of vital signs in electronic health records. This study aimed to examine documentation of vital signs in electronic health records. We examined the vital signs documented in the electronic health records of patients who had suffered an in-hospital cardiac arrest and on whom cardiopulmonary resuscitation was attempted between 2007 and 2011 (n = 228), in a 372-bed district general hospital. We assessed the completeness of vital sign data compared to VitalPACTM Early Warning Score and the location of vital signs within the electronic health records. There was a noticeable lack of completeness of vital signs. Vital signs were fragmented through various sections of the electronic health records. The study identified serious shortfalls in the representation of vital signs in the electronic health records, with consequential threats to patient safety.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Samhällsfarmaci och klinisk farmaci (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Social and Clinical Pharmacy (hsv//eng)
Keyword
- vital signs
- electronic health records
- documentation
- Health Informatics
- Hälsoinformatik
Publication and Content Type
- ref (subject category)
- art (subject category)
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