J Clin Monit Comput - The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study.

Tópicos

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Resumo

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.

Resumo Limpo

respiratori rate rr one sensit marker patient condit core aspect multipl clinic assess tool doctor use number method assess rr includ formal measur spot assess although recommend studi aim assess accuraci method rr measur use doctor crosssect studi assess accuraci rang bias imprecis doctor spot formal respiratori rate assess use video mock patient doctor london teach hospit particip method show high level inaccuraci though formal method accur spot assess doctor identifi respiratori rate shown abnorm use spot formal assess method respect observ trend toward decreas accuraci spot assess increas clinic experi p current method rr assess doctor inaccur may signific delay appropri clinic care even misguid treatment

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