None listed
Conditions
Brief summary
In newborns requiring resuscitation in the delivery room, we will investigate if an application (app)-based electronic documentation using an iPad (Tablet) is more accurate than conventional paper-based documentation for recording neonatal resuscitation interventions, compared with video recording as the gold standard. We hypothesise that app-based documentation will be a more accurate method for recording events during neonatal resuscitation when compared to paper-based recording, regarding time error, numerical error, omission error and commission error. Three types of documentation records will be available after each resuscitation: Video recording, Tablet report, and paper report. The Tablet and paper report will be recorded simultaneously and independently by two researchers. Data recorded on the tablet and paper form will be compared with the timing of events noted from the video recording. Primary outcomes will be to analyse errors regarding precision and accuracy of events and intervention times (time discrepancy): time to face-mask application, time to start and stop positive pressure ventilation (PPV), time to start and stop chest compressions, time of endotracheal intubation attempts and when the concentration of supplemental oxygen altered. Secondary outcomes are to describe types of documentation errors in the following parameters: SpO2 (oxygen saturation,(%)); concentration of supplemental oxygen (%) and heart rate (beats per minute) at 3, 5 and 10 minutes after birth .
Interventions
In newborns requiring resuscitation in the delivery room a researcher will be randomised to use
1. An application (app)-based electronic documentation tool (NeoChart +) via tablet
Or
2. Paper based documentation form to document neonatal resuscitation interventions
For each arm in this study details to be collected using the app and paper based form include: any neonatal resuscitation interventions ( intermittent positive pressure ventilation, continuous positive pressure0 applied including du
In newborns requiring resuscitation in the delivery room a researcher will be randomised to use 1. An application (app)-based electronic documentation tool (NeoChart +) via tablet Or 2. Paper based documentation form to document neonatal resuscitation interventions For each arm in this study details to be collected using the app and paper based form include: any neonatal resuscitation interventions ( intermittent positive pressure ventilation, continuous positive pressure0 applied including duration, insertion of endotracheal tube, outcome and medications administered, administration of cardiac compressions, use of supplemental oxygen during the resuscitation. We will also recorded demographic and perinatal data relating to the resuscitation event including mode of delivery vaginal vs. caesarean delivery, and gestational age. Data will be recorded for the duration of observation, e.g. from delivery until successful resuscitation or at least 10 minutes after birth.
Sponsors
The Royal Women's Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to 1 Hours
Healthy volunteers
No
Inclusion criteria
All high-risk deliveries (code green sections, neonatal code blues, known fetal abnormalities needing support during transition, preterm infants <32 weeks’ gestation) during the study period and whom parents accept to participate.
Exclusion criteria
Refusal of staff to participate or subsequent refusal of parental consent. Research staff unavailable.
Outcome results
None listed