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Poster Presentations: Tuesday, November 2, 2010 |

How Accurate Are Your Vitals? Perhaps Not So Accurate FREE TO VIEW

Samera Majeed, MS; Shazia Malik, MS; Akella Chendrasekhar, MD
Author and Funding Information

Wyckoff Heights Medical Center, Brooklyn, NY



Chest. 2010;138(4_MeetingAbstracts):219A. doi:10.1378/chest.10224
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Published online

Abstract

PURPOSE: Medical management of critically ill patients is based on Vital sign data. The accuracy of the vital signs obtained by nursing staff [usually LPN or technicians] using automated machinery in inner city hospitals has not been tested.

METHODS: we obtained 1000 data points on admitted patients where medical staff [Trained medical students] obtained vital signs using manual techniques within 15 minutes of routine nursing staff data. The data were compared by tabulation and one way analysis of variance.

RESULTS: The data [systolc blood pressure, diastolic blood pressure, mean arterial pressure, and heart rate] showed significant variation between the 2 groups. This suggests that our vital sign data upon which we base therapeutic decisions may not be as accurate as we believe.

CONCLUSION: Vital sign data obtained by medical staff is significantly different from data provided by nursing staff. This leads to questions regarding the accuracy of vital sign data.

CLINICAL IMPLICATIONS: Medical staff should manually obtain vital sign data before making therapeutic decisions as the accuracy of data provided by nursing staff seems variable.

DISCLOSURE: Akella Chendrasekhar, No Financial Disclosure Information; No Product/Research Disclosure Information

12:45 PM - 2:00 PM


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