title: Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance.
abstract: BACKGROUND
  Precise and complete documentation of in-hospital cardiopulmonary resuscitations is important but data quality can be poor. In the present study, we investigated the effect of a tablet-based application for real-time resuscitation documentation used by the emergency team leader on documentation quality and clinical performance of the emergency team.
  
  
  METHODS
  Senior anaesthesiologists either used the tablet-based application during the simulated resuscitation for documentation and also used the application for the final documentation or conducted the full documentation at the end of the scenario using the local hospital information system. The latter procedure represents the current local documentation method. All scenarios were video recorded. To assess the documentation, we compared the precision of intervention delivery times, documentation completeness, and final documentation time. To assess clinical performance, we compared adherence to guidelines for defibrillation and adrenaline administration, the no-flow fraction, and the time to first defibrillation.
  
  
  RESULTS
  The results showed significant benefits for the tablet-based application compared to the hospital information system for precision of the intervention delivery times, the final documentation time, and the no-flow fraction. We observed no differences between the groups for documentation completeness, adherence to guidelines for defibrillation and adrenaline administration, and the time to first defibrillation.
  
  
  CONCLUSIONS
  In the presented study, we observed that a tablet-based application can improve documentation data quality. Furthermore, we demonstrated that a well-designed application can be used in real-time by a member of the emergency team with possible beneficial effects on clinical performance.
  
  
  CONCLUSIONS
  The present evaluation confirms the advantage of tablet-based documentation tools and also shows that the application can be used by an active member of an emergency team without compromising clinical performance.
authors.affiliation: Institute Human-Computer-Media, Julius-Maximilians-Universität Würzburg, Oswald-Külpe-Weg 82, 97074, Würzburg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Grundgeiger
authors.affiliation: Institute Human-Computer-Media, Julius-Maximilians-Universität Würzburg, Oswald-Külpe-Weg 82, 97074, Würzburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Albert
authors.affiliation: Institute Human-Computer-Media, Julius-Maximilians-Universität Würzburg, Oswald-Külpe-Weg 82, 97074, Würzburg, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Reinhardt
authors.affiliation: Department of Anaesthesia and Critical Care/Section Emergency Medicine, University Hospital of Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Happel
authors.affiliation: Department of Anaesthesia and Critical Care/Section Emergency Medicine, University Hospital of Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Steinisch
authors.affiliation: Department of Anaesthesia and Critical Care/Section Emergency Medicine, University Hospital of Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Germany. wurmb_t@ukw.de.
authors.forename: T
authors.initials: T
authors.lastname: Wurmb
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000706:statistics & numerical data*; D034201:Computers, Handheld; D004282:Documentation / Q000592:standards*; D005260:Female; D019983:Guideline Adherence; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007857:Leadership; D008297:Male; D010348:Patient Care Team / Q000592:standards*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013997:Time Factors; D014741:Video Recording
keywords: Cardiac arrest documentation; Cardiopulmonary resuscitation; No-flow fraction; Simulation