caa a22 4500 605510156 CHVBK 20210128100644.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10877-014-9621-3 doi (NATIONALLICENCE)springer-10.1007/s10877-014-9621-3 The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study [Elektronische Daten] [Keir Philip, Emma Pack, Valentina Cambiano, Hannah Rollmann, Simon Weil, James O'Beirne] 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. The Author(s), 2014 Respiratory rate nationallicence Vital signs nationallicence Observations nationallicence Assessment nationallicence Philip Keir Royal Free London NHS Foundation Trust, London, UK aut Pack Emma Royal Free London NHS Foundation Trust, London, UK aut Cambiano Valentina University College London, London, UK aut Rollmann Hannah Royal Free London NHS Foundation Trust, London, UK aut Weil Simon Royal Free London NHS Foundation Trust, London, UK aut O'Beirne James Royal Free London NHS Foundation Trust, London, UK aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/4(2015-08-01), 455-460 1387-1307 29:4<455 2015 29 10877 https://doi.org/10.1007/s10877-014-9621-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9621-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Philip Keir Royal Free London NHS Foundation Trust, London, UK aut NATIONALLICENCE 700 1- Pack Emma Royal Free London NHS Foundation Trust, London, UK aut NATIONALLICENCE 700 1- Cambiano Valentina University College London, London, UK aut NATIONALLICENCE 700 1- Rollmann Hannah Royal Free London NHS Foundation Trust, London, UK aut NATIONALLICENCE 700 1- Weil Simon Royal Free London NHS Foundation Trust, London, UK aut NATIONALLICENCE 700 1- O'Beirne James Royal Free London NHS Foundation Trust, London, UK aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/4(2015-08-01), 455-460 1387-1307 29:4<455 2015 29 10877