Documentatie van vitale functies bij kinderen kan verbeterd met behulp van een kleine hulpkaart

Bird C, Shea A, Michie CA, George G. A simple intervention improves the recording of vital signs in children presenting to the emergency department. Emerg Med J 2009 Oct;26(10):698-700

DOELSTELLINGEN: De vitale functies worden vaak niet gedocumenteerd bij kinderen tijdens de triage. Deze studie werd uitgevoerd om uit te vinden of het gebruik van een kleine, gelamineerde hulpkaarten en een korte studiesessie deze situatie kunnen verbeteren

OBJECTIVES: Vital signs are often not documented in paediatric patients at triage. This study was conducted to find out whether the use of a small, laminated aide memoire and a short teaching session might improve this situation. METHODS: A preliminary audit of the measurement of vital signs in 106 children aged less than 6 years was carried out in a district general hospital emergency department (ED). A small card illustrating normal values for these was then distributed-this could be attached to staff identity cards. At the same time doctors and nursing staff were given a teaching session on the importance of these measures. The audit was then repeated in a further 106 children. RESULTS: There was significant improvement in recording of all vital signs with the exception of blood pressure and temperature. CONCLUSION: A low-cost card together with a short period of training offers a useful strategy to improve the rate of documentation of vital signs in children presenting to the ED

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