title: Resuscitation of the written word: meeting the standard for cardiac arrest documentation.
abstract: The aim of this study was to audit cardiac arrest documentation within a UK teaching hospital, survey the regional use of proformas for data collection, and consider the need for a standardised national template. A prospective audit comparing cardiac arrest documentation to General Medical Council (GMC) professional standards and the 'Utstein' fields was carried out, along with a survey of regional resuscitation officers for the use of standardised templates. The main outcome measures were the design of 'best practice' template using GMC guidelines and the 'Utstein' fields. An audit of medical notes involving a cardiac arrest call against the template was performed. There was limited documentation concerning process, events and outcome of arrest calls, as well as minimal regional use of standard templates or consensus on the essential content of medical documentation. Documentation of cardiac arrests in the Leeds Teaching Hospitals does not meet the 'Utstein' recommendations to provide enough information for audit of cardiac arrest procedure. The regional survey indicates that this problem is likely to be widespread.
authors.affiliation: Anaesthetic Department, Leeds General Infirmary. neiljallan@hotmail.com
authors.forename: Neil
authors.initials: N
authors.lastname: Allan
authors.forename: Dominic
authors.initials: D
authors.lastname: Bell
authors.forename: Alison
authors.initials: A
authors.lastname: Pittard
mesh_terms: D016887:Cardiopulmonary Resuscitation; D004282:Documentation / Q000592:standards*; D019983:Guideline Adherence; D055991:Health Records, Personal; D006323:Heart Arrest / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D006784:Hospitals, Teaching; D006801:Humans; D008485:Medical Audit; D013222:State Medicine; D006113:United Kingdom