Flash mob research: a single-day, multicenter, resident-directed study of respiratory rate.

Semler MW, Stover DG, Copland AP, Hong G, Johnson MJ, Kriss MS, Otepka H, Wang L, Christman BW, Rice TW
Chest. 2013 143 (6): 1740-1744

PMID: 23197319 · PMCID: PMC3747725 · DOI:10.1378/chest.12-1837

BACKGROUND - Vital signs are critical data in the care of hospitalized patients, but the accuracy with which respiratory rates are recorded in this population remains uncertain. We used a novel flash mob research approach to evaluate the accuracy of recorded respiratory rates in inpatients.

METHODS - This was a single-day, resident-led, prospective observational study of recorded vs directly observed vital signs in nonventilated patients not in the ICU on internal medicine teaching services at six large tertiary-care centers across the United States.

RESULTS - Among the 368 inpatients included, the median respiratory rate was 16 breaths/min for the directly observed values and 18 breaths/min for the recorded values, with a median difference of 2 breaths/min (P < .001). Respiratory rates of 18 or 20 breaths/min accounted for 71.8% (95% CI, 67.1%-76.4%) of the recorded values compared with 13.0% (95% CI, 9.5%-16.5%) of the directly observed measurements. For individual patients, there was less agreement between the recorded and the directly observed respiratory rate compared with pulse rate.

CONCLUSIONS - Among hospitalized patients across the United States, recorded respiratory rates are higher than directly observed measurements and are significantly more likely to be 18 or 20 breaths/min.

MeSH Terms (13)

Biomedical Research Chi-Square Distribution Data Collection Female Humans Inpatients Internal Medicine Internship and Residency Male Prospective Studies Respiratory Rate Statistics, Nonparametric United States

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