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The factors that affect the frequency of vital sign monitoring in the emergency department.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Johnson, Kimberly D. Winkelman, Chris Burant, Christopher J. Dolansky, Mary Totten, Vicken
Spatial Coverage	Midwestern United States
Description	Author Affiliation: Johnson KD ( Cleveland, OH. Electronic address: kimj74@gmail.com.); Winkelman C ( Cleveland, OH.); Burant CJ ( Cleveland, OH.); Dolansky M ( Cleveland, OH.); Totten V ( Cleveland, OH.)
Abstract	INTRODUCTION: Vital signs are an important component of the nursing assessment and are used as early warning signs of changes in a patient's condition; however, little research has been conducted to determine how often vital signs are monitored in the emergency department. Additionally, it has not been determined what personal, social, and environmental factors affect the frequency of vital sign monitoring. The purpose of this study was to examine what factors may influence the time between recording vital signs in the emergency department. METHODS: We performed a descriptive, retrospective chart review of 202 randomly selected adult ED patients' charts from representative times to capture a variety of ED levels of occupancy in an urban, Midwestern, teaching hospital. Descriptive and hierarchical regression analyses were used. RESULTS: The strongest predictor of the increased time between vital signs from the personal health factors was lower patient acuity (Emergency Severity Index). This relationship remained strong even when social factors and environmental factors were included. Increased length of stay and fewer routes of medications also had significant relationships to the increased time between vital sign monitoring. DISCUSSION: These findings are clinically important because greater time between vital sign recordings can lead to errors of omission by not detecting changes in vital signs that could reveal changes in the patient's condition. The findings of this study provide direction for future research focusing on determining whether higher frequency of vital signs surveillance contributes to higher quality care and linking quality of care to missing vital signs/inadequate monitoring.
File Format	HTM / HTML
ISSN	00991767
Issue Number	1
Volume Number	40
e-ISSN	15272966
Journal	Journal of Emergency Nursing
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing Emergency Nursing Methods Emergency Service, Hospital Statistics & Numerical Data Patient Acuity Vital Signs Physiology Adolescent Adult Aged Aged, 80 And Over Female Hospitals, Teaching Hospitals, Urban Humans Male Middle Aged Midwestern United States Retrospective Studies Time Factors Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Nursing

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