A low cost, customised anaesthesia information management system: An evolving process

Dhar, Mridul; Sreevastava, DK; Lamba, Navdeep Singh

doi:10.4103/0019-5049.186026

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…As the computers are readily available hardware components in most of the hospitals in the present time, the software can be installed in different computers, and data can be accessed from any computer in the hospital connected through local area networks or through cloud-computing based technology 19,20 . While cloud computing-based technology needs access to the cloud (data storage and retrievement through the internet) costs extra few dollars per year, local area network based locally developed network has also been found to be economically cheap 19 . Furthermore, if such an anaesthesia module is not available in the existing HIMS, it can be incorporated into it.…”

Section: Discussionmentioning

confidence: 99%

Information technology-based joint preoperative assessment, risk stratification and its impact on patient management, perioperative outcome, and cost

et al. 2021

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Background: Despite negative recommendations, routine preoperative testing practice is nearly universal. Our aim is to bring the healthcare providers on one platform by using information-technology based preanaesthetic assessment and evaluate the routine preoperative testing’s impact on patient outcome and cost. Methods: A prospective, non-randomised study was conducted in a teaching hospital during January 2019-August 2020. A locally developed software and cloud-computing were used as a tool to modify preanaesthesia evaluation. The number of investigations ordered, time taken, cost incurred, were compared with the routine practice. Further data were matched as per surgical invasiveness and the patient's physical status. Appropriate tests compared intergroup differences and p-value <0.05 was considered significant. Results: Data from 114 patients (58 in routine and 56 in patient and surgery specific) were analysed. Patient and surgery specific investigation led to a reduction in the investigations by 80-90%, hospital visit by 50%, and the total cost by 80%, without increasing the day of surgery cancellation or complications. Conclusion: Information technology-based joint preoperative assessment and risk stratification are feasible through locally developed software with minimal cost. It helps in applying patient and surgery specific investigation, reducing the number of tests, hospital visit, and cost, without adversely affecting the perioperative outcome. The application of the modified method will help in cost-effective, yet quality and safe perioperative healthcare delivery. It will also benefit the public from both service and economic perspective.

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Section: Discussionmentioning

confidence: 99%