Using video recording to identify management errors in pediatric XXXX resuscitation.

@entity1 @entity130
OBJECTIVE: To determine the ability of video recording to identify management errors in @entity130 resuscitation and to compare this method with medical record review. METHOD: The resuscitation of @entity1 who presented to the emergency department of the Royal @entity1 's Hospital between February 19, 2001, and August 18, 2002, for whom the @entity130 team was activated was video recorded. The tapes were analyzed, and management was compared with Advanced @entity130 Life Support guidelines. Deviations from these guidelines were recorded as errors. Fifty video recordings were analyzed independently by 2 reviewers. Medical record review was undertaken for a cohort of the most seriously injured @entity1 , and errors were identified. The errors detected with the 2 methods were compared. RESULTS: Ninety resuscitations were video recorded and analyzed. An average of 5.9 errors per resuscitation was identified with this method (range: 1-12 errors). Twenty-five @entity1 (28%) had an injury severity score of >11; there was an average of 2.16 errors per @entity1 in this group. Only 10 (20%) of these errors were detected in the medical record review. Medical record review detected an additional 8 errors that were not evident on the video recordings. Concordance between independent reviewers was high, with 93% agreement. CONCLUSIONS: Video recording is more effective than medical record review in detecting management errors in pediatric @entity130 resuscitation. @entity130 are common and often involve basic resuscitation principles. Resuscitation of the most seriously injured @entity1 was associated with fewer errors. Video recording is a useful adjunct to @entity130 .
