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Emergency Medicine Journal 2008;25:506-509; doi:10.1136/emj.2007.054569
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

ORIGINAL ARTICLES

Accuracy of web-based recording program for in-hospital resuscitation: laboratory study

Y S Park1, I C Park1, J S You2, D Y Hong3, K R Lee3, S P Chung1

1 Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
2 Ulsan Fire Department Headquarters, Ulsan, Republic of Korea
3 Department of Emergency Medicine, Konkuk University School of Medicine, Seoul, Republic of Korea

Correspondence to:
Professor S P Chung, Department of Emergency Medicine, Yongdong Severance Hospital, Dogok-dong, Gangnam-gu, Seoul 135-720, Republic of Korea; emstar{at}yuhs.ac

Objective: The purpose of this study was to assess the accuracy of a Web-based resuscitation recording program compared with the handwritten method.

Methods: A Web site was developed to record in-hospital resuscitation events and a mock resuscitation was recorded using both the Web site and handwritten method by emergency nurses. Accurate recorded events and times were compared between the two methods through the use of a video clip. Paired t tests were used to compare differences in absolute timing error, the number of omitted events out of 11 reference events and total recorded events.

Results: Twenty-one emergency nurses recorded simulated resuscitation events using both the handwritten and Web-based computerised recording system. The mean absolute timing errors were significantly lower using the computerised recording program (37.3 s (SD 17.1) versus 8.3 s (SD 5.3), p<0.001). The mean number of omissions for the computerised program was 1.8 (SD 0.8) compared with 1.4 (SD 1.1) for the handwritten method (p = 0.202). The mean number of total recorded events for the computerised program was 16.5 (SD 3.5) compared with 15.0 (SD 3.8) for the handwritten method (p = 0.063).

Conclusions: This study suggests that a Web-based recording program decreased timing error while causing no differences in the number of recorded or omitted events in a laboratory setting.


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