Something to think about.
At least Josina made me.
Cuff sizes.
Do we really need a list with codes stating small, normal and large?
When we know that small for children is different from small for adults, etc, etc.
Isn’t it tru that we only need to record whether we measured the blood pressure with the appropriate or non-appropriate cuffsize.
In other words is it in many occasions not enough to have one flag: ‘trust this’ or ‘do not trust this’?
Gerard
– –
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
Something to think about.
At least Josina made me.
Cuff sizes.
Do we really need a list with codes stating small, normal and large?
When we know that small for children is different from small for
adults, etc, etc.
Isn't it tru that we only need to record whether we measured the blood
pressure with the appropriate or non-appropriate cuffsize.
In other words is it in many occasions not enough to have one flag:
'trust this' or 'do not trust this'?
there is one important requirement that relates to this question:
faithful recording - clinicians have to be allowed to record what they
want. Today, they want to record the cuff size in the small/normal/large
or child/adult way. Other clinicians, or the same clinician later on can
read this and correctly (mostly) infer mentally what the effect of the
different cuff sizes is, including - if the 'wrong' cuff size was used,
the correct mental adjustment can be made by an experienced clinician.
If however, the original clinician puts 'trust this/don't trust this',
then all subsequent users of the same information can no longer form
their own opinion of the effect of a certain kind of cuff on a certain
kind of patient - they now have only the pre-digested opinion of the
original person.
More evidence that we need a way of searching these lists so that people can find previous debates on issues.
The current reviewed archetype has some data about the width. It is not sufficient to say relative to the arm as we then make the same mistakes we do now. Better to leave it blank so at least noone was concerned at the time!
Better have it empty than filled with problems up front.
We need a discussion on:
What is called ‘Ordinals’ or ‘severity’.
And in line with this the proper use of the internal code list versus external code list.
Gerard
Hi Gerard,
More evidence that we need a way of searching these lists so that people can find previous debates on issues.
The current reviewed archetype has some data about the width. It is not sufficient to say relative to the arm as we then make the same mistakes we do now. Better to leave it blank so at least noone was concerned at the time!
Cheers, Sam
– –
Gerard Freriks, MD
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands
