2010/12/01 by Robert L Chatburn, Teresa A Volsko · 1 citation
Health Professions · Nursing · #Electronic Health Records Systems #Nursing Diagnosis and Documentation #Patient Safety and Medication Errors
paper · doi:10.4187/respcare.10551705
crossref issued 2010/12/01 · crossref published 2010/12/01 · crossref published-online 2010/12/01 · crossref published-print 2010/12/01 · openalex publication_date 2010/12/01 · openalex created_date 2016/06/24 · crossref created 2026/03/12 · crossref deposited 2026/03/13 · crossref indexed 2026/07/29 · openalex updated_date 2026/07/31
As hospitals begin to implement electronic medical records, the inadequacies of legacy paper charting systems will become more evident. One area of particular concern for respiratory therapists is the charting of mechanical ventilator settings. Our profession's lack of a standardized and generally accepted taxonomy for mechanical ventilation leaves us with a confusing array of terms related to ventilator settings. Such confusion makes database design impossible for information technology professionals and is a risk-management concern for clinicians. Of particular note is the complexity related to set airway pressures when using modes whose primary control variable is pressure (versus volume). We review the clinically relevant issues surrounding documentation of the patient-ventilator interactions related to airway pressure and provide suggestions for a standardized vocabulary.