ABSTRACTS FOR APEM SESSION
Abstracts for APEM session, Wednesday 16 September 13.45–15.15, Read Lecture TheatreOptimising vital signs recording in a paediatric emergency department: does IT play a role?
Leeds General Infirmary
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Background
Measuring vital signs is generally regarded as a mundane task. Previous studies have shown initial and repeat vital sign recording in the emergency department to be poor. There is evidence that staff fail to recognise the significance of changes in vital signs and this can result in a late referral of patients to critical care.
Aims
To examine initial and repeat vital signs recording in a tertiary paediatric emergency department and to ascertain the impact of introducing a mandatory second set of observations in admitted patients using an IT solution (Symphony).
Methods
A retrospective analysis of records was performed on 1000 consecutive children attending the ED for documentations of initial and repeat observations (pulse, BP/CRT, respiratory rate, SaO2, temperature, pain score, weight, Glasgow coma score). On the basis of these results, amendments were made to the existing ED software
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