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We examined the vital signs documented in the electronic health records of patients who had suffered an in-hospital cardiac arrest and on whom cardiopulmonary resuscitation was attempted between 2007 and 2011 ( n = 228), in a 372-bed district general hospital. We assessed the completeness of vital sign data compared to VitalPAC\u2122 Early Warning Score and the location of vital signs within the electronic health records. There was a noticeable lack of completeness of vital signs. Vital signs were fragmented through various sections of the electronic health records. The study identified serious shortfalls in the representation of vital signs in the electronic health records, with consequential threats to patient safety.<\/jats:p>","DOI":"10.1177\/1460458214530136","type":"journal-article","created":{"date-parts":[[2014,4,29]],"date-time":"2014-04-29T23:36:33Z","timestamp":1398814593000},"page":"21-33","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":39,"title":["Recording signs of deterioration in acute patients: The documentation of vital signs within electronic health records in patients who suffered in-hospital cardiac arrest"],"prefix":"10.1177","volume":"22","author":[{"given":"Jean E","family":"Stevenson","sequence":"first","affiliation":[{"name":"University of Sheffield, UK; Linnaeus University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Israelsson","sequence":"additional","affiliation":[{"name":"Kalmar County Hospital, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunilla C","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Linnaeus University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6ran I","family":"Petersson","sequence":"additional","affiliation":[{"name":"Linnaeus University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A","family":"Bath","sequence":"additional","affiliation":[{"name":"University of Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,4,29]]},"reference":[{"key":"bibr1-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199402000-00014"},{"key":"bibr2-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7148.1853"},{"key":"bibr3-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(02)00100-4"},{"key":"bibr4-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2004.05.016"},{"key":"bibr5-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2005.08.015"},{"key":"bibr6-1460458214530136","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2000.tb125627.x"},{"key":"bibr7-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7334.387"},{"key":"bibr8-1460458214530136","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2003.tb05548.x"},{"key":"bibr9-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1186\/cc3906"},{"key":"bibr10-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1378\/chest.98.6.1388"},{"key":"bibr11-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.04.017"},{"key":"bibr12-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.12.008"},{"key":"bibr13-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.017"},{"key":"bibr14-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2006.03.008"},{"key":"bibr15-1460458214530136","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2004.031872"},{"key":"bibr16-1460458214530136","unstructured":"Horswill M, Preece M, Hill A, Detecting abnormal vital signs on six observation charts: an experimental comparison. 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