title: A multi-state survey of videotaping practices for major trauma resuscitations.
abstract: The objective of this study was to determine the prevalence and problems, both perceived and actual, associated with videotaping major trauma resuscitations. A cross-sectional two-part survey of trauma centers was conducted. Part 1 determined demographic information and videotaping status. Part 2 asked trauma centers that were not doing videotaping (NVTCs) about their plans, past experience, and perceived problems. Videotaping trauma centers (VTCs) were asked about mechanics, responsibility, utilization, and problems. A total of 221 centers were surveyed; 20% VTCs, 70% NVTCs, and 10% NVTCs that had videotaped in the past (PVTC). Among VTCs, 53% reported problems with videotaping including lack of personnel (40%) and time (40%) to administer the program. Videotaping, however, was found to be an effective quality improvement tool in 95% of the VTCs. Of the NVTCs, 70% perceived problems with implementing a videotaping program; these included medicolegal (34%) and patient confidentiality (22%) concerns. Of the PVTCs, 90% stated that they had problems with videotaping including lack of staff support (33%) and lack of personnel to assist with the program (24%). In conclusion, staff participation and adequate personnel outweigh medicolegal concerns as actual videotaping problems. Videotaping is perceived to be an effective performance improvement tool.
authors.affiliation: Department of Emergency Medicine, State University of New York at Buffalo School of Medicine and Biomedical Sciences, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Ellis
authors.forename: E B
authors.initials: EB
authors.lastname: Lerner
authors.forename: D V
authors.initials: DV
authors.lastname: Jehle
authors.forename: K
authors.initials: K
authors.lastname: Romano
authors.forename: C
authors.initials: C
authors.lastname: Siffring
mesh_terms: D003430:Cross-Sectional Studies; D019538:Health Care Surveys; D006801:Humans; D016134:Organizational Policy; D012151:Resuscitation; D011795:Surveys and Questionnaires; D014193:Trauma Centers / Q000458:organization & administration / Q000706:statistics & numerical data*; D014481:United States; D014741:Video Recording / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000628:therapy*