Evidence map›Paper›PMID 40447295›Full record

ArticleBMJ open quality2025

Improving initial vital signs assessment and documentation in the emergency department of regional hospital, Bhutan: quality improvement project.

Sherab Wangdi, Kashap Guragai, Pema Namgay, Jamyang Dorji, Kesang Wangchuk

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sherab WangdiEmergency Department, Eastern Regional Referral Hospital, Mongar, Bhutan sherabw1989@gmail.com.ORCID 0000-0001-6924-0326
Kashap GuragaiEmergency Department, Eastern Regional Referral Hospital, Mongar, Bhutan.
Pema NamgayEmergency Department, Eastern Regional Referral Hospital, Mongar, Bhutan.
Jamyang DorjiEmergency Department, Eastern Regional Referral Hospital, Mongar, Bhutan.
Kesang WangchukEmergency Department, Eastern Regional Referral Hospital, Mongar, Bhutan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVital signs are key indicators of a patient's physiological status. It includes blood pressure, temperature, pulse rate, respiration rate and oxygen saturation (SPO

methodA quality improvement initiative was undertaken to improve the initial vital signs assessment and documentation in the Emergency Department of a Regional Referral hospital for a duration of 10 weeks. Our team implemented four cycles of intervention which were based on a baseline survey, analysis of plan-do-study-act cycles, previous similar projects and discussion within the group.

interventionThe interventions included sensitisation about the vital signs, making monitoring equipment easily available and redesigning areas for assessment and documentation.

resultThe rate of complete assessment and documentation of vital signs increased significantly from 40% to 97% at the end of the 10 week period.

Indexed as

DocumentationQuality ImprovementVital SignsBhutanEmergency Service, HospitalHumansSurveys and QuestionnairesEmergency departmentPDSAQuality improvementRoot cause analysis

Identifiers

PMID40447295
PMCPMC12131496

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.