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A multi-state survey of videotaping practices for major trauma resuscitations. J Emerg Med 1999;17(4):597-604

Date

08/04/1999

Pubmed ID

10431947

DOI

10.1016/s0736-4679(99)00048-7

Scopus ID

2-s2.0-0033168219 (requires institutional sign-in at Scopus site)   39 Citations

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.

Author List

Ellis DG, Lerner EB, Jehle DV, Romano K, Siffring C



MESH terms used to index this publication - Major topics in bold

Cross-Sectional Studies
Health Care Surveys
Humans
Organizational Policy
Resuscitation
Surveys and Questionnaires
Trauma Centers
United States
Video Recording
Wounds and Injuries