The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study

Verfasser / Beitragende:
[Keir Philip, Emma Pack, Valentina Cambiano, Hannah Rollmann, Simon Weil, James O'Beirne]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/4(2015-08-01), 455-460
Format:
Artikel (online)
ID: 605510156
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024 7 0 |a 10.1007/s10877-014-9621-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10877-014-9621-3 
245 0 4 |a The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study  |h [Elektronische Daten]  |c [Keir Philip, Emma Pack, Valentina Cambiano, Hannah Rollmann, Simon Weil, James O'Beirne] 
520 3 |a Respiratory rate (RR) is one of the most sensitive markers of a patient condition and a core aspect of multiple clinical assessment tools. Doctors use a number of methods to assess RR, including formal measurement, and ‘spot' assessments, although this is not recommended. This study aimed to assess the accuracy of the methods of RR measurement being used by doctors. A cross-sectional study assessing the accuracy (range, bias, and imprecision) of doctors' ‘spot' and ‘formal' respiratory rate assessments, using videos of mock patients. 54 doctors in a London teaching hospital participated. Both methods showed high levels of inaccuracy, though formal methods were more accurate than ‘spot' assessments. 52 and 19% of doctors did not identify the respiratory rates shown as abnormal, using ‘spot' and formal assessment methods respectively. We observed a trend towards decreasing accuracy of ‘spot' assessments with increasing clinical experience (p=0.0490). Current methods of RR assessment by doctors are inaccurate. This may be significantly delaying appropriate clinical care, or even misguiding treatment. 
540 |a The Author(s), 2014 
690 7 |a Respiratory rate  |2 nationallicence 
690 7 |a Vital signs  |2 nationallicence 
690 7 |a Observations  |2 nationallicence 
690 7 |a Assessment  |2 nationallicence 
700 1 |a Philip  |D Keir  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
700 1 |a Pack  |D Emma  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
700 1 |a Cambiano  |D Valentina  |u University College London, London, UK  |4 aut 
700 1 |a Rollmann  |D Hannah  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
700 1 |a Weil  |D Simon  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
700 1 |a O'Beirne  |D James  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/4(2015-08-01), 455-460  |x 1387-1307  |q 29:4<455  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-014-9621-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-014-9621-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Philip  |D Keir  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pack  |D Emma  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cambiano  |D Valentina  |u University College London, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rollmann  |D Hannah  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Weil  |D Simon  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a O'Beirne  |D James  |u Royal Free London NHS Foundation Trust, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/4(2015-08-01), 455-460  |x 1387-1307  |q 29:4<455  |1 2015  |2 29  |o 10877