Completeness of manual data recording in the anaesthesia information management system: A retrospective audit of 1000 neurosurgical cases

Palaniswamy, Sangeetha R; Jain, Vikyath; Chakrabarti, Dhritiman; Bharadwaj, Suparna; Sriganesh, Kamath

doi:10.4103/ija.ija_450_19

Cited by 10 publications

(5 citation statements)

References 17 publications

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“…This might be explained by workload, use of tools or manual recording, practitioner interest, and availability of information are some of the factors which affect the quality and practice of documentation 1 , 2 . In addition, anaesthesia information management system showed multiple advantages, including improved accuracy of data collection for clinical documentation and research, enhanced quality of care and improved regulatory compliance 11 , 12 . Therefore, introducing an electronic-based recording system in our case may improve patient safety, record keeping, and patient management practice.…”

Section: Discussionmentioning

confidence: 99%

Simulation-based perioperative anaesthesia information management practice: cross-sectional study

Admassie,

Ferede,

Mekonnen

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Perioperative anaesthesia record completeness is very essential skill of the anaesthesia profession at the time of operation in the health setting. During perioperative, anaesthesia care sometimes there may be missing important information of the patient, medication taken or planned. This study aimed to improve perioperative anaesthesia information management practice. Methodology: Pre-interventional and post-interventional cross-sectional study was conducted from 21 June to 25 July 2022 on 164 anaesthesia record filled by 51 anaesthesia care provider in pre-interventional and post-interventional phase. Data were collected using a semi-structured questionnaire and the data entered by Epi-data software (version 4.6) and analyzed by using SPSS version 26. For all indicators, the projected completion rate was 100%. Indicators with completion rates of greater than 90% were classified as acceptable, while those with completion rates of 50% were seen as urgently needing improvement. Results: Pre-interventional result: among all indicators, none of the indicators had 100%, completeness rate. Postoperative nausea and vomiting management orders, the names of the surgeon and anaesthetist, the location of the intravenous cannula, the maintenance of anaesthesia, the total amount of fluid supplied, the content of the consent discussion, and null per ose status, age, and weight of the patient were some of the markers that were identified below average (50%) and in need of significant improvement. Post-interventional result: when compared with the pre-interventional result, their documentation skills were improving after discussions with stakeholders and the relevant bodies; however, none of the indicators attained 100% completion rate. Conclusion and recommendation: Even after the interventions, the desired completion rate was not attained. As a result, it requires ongoing instruction on perioperative anaesthesia information management according to the standard perspectives.

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Section: Discussionmentioning

confidence: 99%

Simulation-based perioperative anaesthesia information management practice: cross-sectional study

Admassie,

Ferede,

Mekonnen

et al. 2023

Annals of Medicine &Amp; Surgery

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“…General anesthesia that is administered to most surgical patients in India and several other countries mostly involves inhalational technique. [ 4 5 6 ] This is largely due to factors such as comfort of administration, easy availability, lower cost, and preference of anesthesiologist. However, there is a growing realization about their adverse implications on the health of OR personnel and the outside environment.…”

Section: Discussionmentioning

confidence: 99%

Paving the way to environment-friendly greener anesthesia

Mishra

Agarwal

Singh

et al. 2023

Journal of Anaesthesiology Clinical Pharmacology

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Health-care settings have an important responsibility toward environmental health and safety. The operating room is a major source of environmental pollution within a hospital. Inhalational agents and nitrous oxide are the commonly used gases during general anesthesia for surgeries, especially in the developing world. These greenhouse gases contribute adversely to the environmental health both inside the operating room and in the outside atmosphere. Impact of these anesthetic agents depends on the total consumption, characteristics of individual agents, and gas flows, with higher levels increasing the environmental adverse effects. The inimical impact of nitrous oxide is higher due to its longer atmospheric half-life and potential for destruction of the ozone layer. Anesthesiologist of today has a choice in the selection of anesthetic agents. Prudent decisions will help in mitigating environmental pollution and contributing positively to a greener planet. Therefore, a shift from inhalational to intravenous-based technique will reduce the carbon footprint of anesthetic agents and their impact on global climate. Propofol forms the mainstay of intravenous anesthesia technique and is a proven drug for anesthetic induction and maintenance. Anesthesiologists should appreciate growing concerns about the role of inhalational anesthetics on the environment and join the cause of environmental responsibility. In this narrative review, we revisit the pharmacological and pharmacokinetic considerations, clinical uses, and discuss the merits of propofol-based intravenous anesthesia over inhalational anesthesia in terms of environmental effects. Increased awareness about the environmental impact and adoption of newer, versatile, and user-friendly modalities of intravenous anesthesia administration will pave the way for greener anesthesia practice.

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“…Even so, some information must be entered manually (e.g. medication given), which might result in an omission, as in paper anesthesia records [6,7].…”

Section: Introductionmentioning

confidence: 99%

Usage of Anesthesia Information Management Systems in European Countries in 2020 – A Short Survey

Bruthans

Blaha

2020

Clin Tech

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The theoretical aspects and benefits of Anesthesia Information Management Systems (AIMS) are well described in literature already. However, certain existing systems are much less researched with most studies concentrating on the USA. In our study, we sent a link to a Google questionnaire to 403 European hospitals and to 382 European authors who have published in the last five years in a renowned anesthesiologic journal. We have not researched AIMS usage in the Czech Republic, as we have covered this topic in our previous study. We asked responders for information on their AIMS (name, vendor, length of use) or to explain why they do not use one. We received 14 responses from the hospitals and 38 responses directly from the authors. With the return rate of 8 per cent we evaluated our study in qualitative terms. Among the 23 respondents that use AIMS there are 12 different systems including two self-developed systems. A number of these systems have not previously been mentioned in the literature. Most use their systems longer than five years but only three respondents are implementing AIMS at the moment. Both these findings show slower progress in this field than in the USA. Typical reasons given from non-users were financial constraints and inability to recognize benefits of AIMS. Incompatibilities with other medical software and medical devices in use were also mentioned. The heterogeneity of AIMS used and perceived barriers corroborate our previous study from the Czech Republic.

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Completeness of manual data recording in the anaesthesia information management system: A retrospective audit of 1000 neurosurgical cases

Cited by 10 publications

References 17 publications

Simulation-based perioperative anaesthesia information management practice: cross-sectional study

Simulation-based perioperative anaesthesia information management practice: cross-sectional study

Paving the way to environment-friendly greener anesthesia

Usage of Anesthesia Information Management Systems in European Countries in 2020 – A Short Survey

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