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Validity of Continuous Pulse Oximetry Orders for Identification of Actual Monitoring Status in Bronchiolitis
Author(s) -
Brady Patrick W,
Schondelmeyer Amanda C,
Landrigan Christopher P,
Xiao Rui,
Brent Canita,
Bonafide Christopher P,
Network for the Pediatric Research in Inpatient Settings PRIS
Publication year - 2020
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.12788/jhm.3443
Subject(s) - medicine , pulse oximetry , bronchiolitis , predictive value , continuous monitoring , emergency medicine , electronic health record , intensive care medicine , pediatrics , anesthesia , health care , respiratory system , operations management , economics , economic growth
The accuracy of pulse oximetry monitor orders for identifying infants with bronchiolitis who are being continuously monitored is unknown. In this 56‐hospital repeated cross‐sectional study, investigators used direct bedside observation to determine continuous pulse oximetry monitor use and then assessed if an active continuous monitoring order was present in the electronic health record. Investigators completed 3,612 observations of infants aged 8 weeks to 23 months hospitalized with bronchiolitis and on room air. Most monitored infants did not have an active monitoring order (sensitivity 49% [95% CI, 41‐57]). The positive predictive value of a monitoring order was 77% (95% CI, 72‐82), and the negative predictive value was 69% (95% CI, 61‐77). Teams intending to measure continuous pulse oximetry use should understand the limitations of using electronic health record orders as a stand‐alone measure.