A retrospective analysis of case‐load and supervision from a large anaesthetic logbook database

Perella, Paolo; Palmer, Edward; Conway, Robert; Wong, D. J. N.

doi:10.1111/anae.14843

Cited by 14 publications

(11 citation statements)

References 9 publications

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“…We performed a retrospective analysis of data from Medberry Anaesthetic Logbook App (Medberry Ltd., London, UK), which we have used as a data source for previously published research [3]. After excluding data from non‐UK users and non‐trainee grade users, we included a total of 329,670 cases from 534 trainees (233 core trainees, 301 specialist trainees) logged in the UK from 11 March 2016 to 11 March 2021 for analysis.…”

Section: Figurementioning

confidence: 99%

Anaesthetic training during the COVID‐19 pandemic

2021

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The COVID-19 pandemic has dramatically impacted anaesthetic services and the delivery of anaesthetic training across the UK and internationally [1, 2]. Trainee case-load is thought to have been reduced during the pandemic by factors including: redeployment to critical care; cancellation of elective surgery; staff self-isolation, quarantine and shielding; and absences due to sickness. We sought to quantify the effect of these changes on anaesthetic training by exploring logbook data recorded by trainees before and during the pandemic. We performed a retrospective analysis of data from Medberry Anaesthetic Logbook App (Medberry Ltd., London, UK), which we have used as a data source for previously published research [3]. After excluding data from non-UK users and non-trainee grade users, we included a total of 329,670 cases from 534 trainees (233 core trainees, 301 specialist trainees) logged in the UK from 11 March 2016 to 11 March 2021 for analysis.

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Section: Figurementioning

confidence: 99%

Anaesthetic training during the COVID‐19 pandemic

2021

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“…A total of 10,383 clinicians answered the questionnaire from 237 of 263 hospitals across the UK which were invited to participate (hospital response rate 90.1%). In March 2017, there were approximately 12,000 anaesthetists, 1500 intensivists, and 23,000 surgeons of all grades in the UK [13,14]. However, allowing 28 days for annual leave and 10 days for study leave, 10.4% of the working year would be time off.…”

Section: Resultsmentioning

confidence: 99%

Perceptions of UK clinicians towards postoperative critical care

et al. 2020

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Summary Postoperative critical care is a finite resource that is recommended for high‐risk patients. Despite national recommendations specifying that such patients should receive postoperative critical care, there is evidence that these recommendations are not universally followed. We performed a national survey aiming to better understand how patients are risk‐stratified in practice; elucidate clinicians’ opinions about how patients should be selected for critical care; and determine factors which affect the actual provision of postoperative critical care. As part of the second Sprint National Anaesthesia Project, epidemiology of critical care after surgery study, we distributed a paper survey to anaesthetists, surgeons and intensivists providing peri‐operative care during a single week in March 2017. We collected data on respondent characteristics, and their opinions of postoperative critical care provision, potential benefits and real‐world challenges. We undertook both quantitative and qualitative analyses to interpret the responses. We received 10,383 survey responses from 237 hospitals across the UK. Consultants used a lower threshold for critical care admission than other career grades, indicating potentially more risk‐averse behaviour. The majority of respondents reported that critical care provision was inadequate, and cited the value of critical care as being predominantly due to higher nurse: patient ratios. Use of objective risk assessment tools was poor, and patients were commonly selected for critical care based on procedure‐specific pathways rather than individualised risk assessment. Challenges were highlighted in the delivery of peri‐operative critical care services, such as an overall lack of capacity, competition for beds with non‐surgical cases and poor flow through the hospital leading to bed ‘blockages’. Critical care is perceived to provide benefit to high‐risk surgical patients, but there is variation in practice about the definition and determination of risk, how patients are referred and how to deal with the lack of critical care resources. Future work should focus on evaluating ‘enhanced care’ units for postoperative patients, how to better implement individualised risk assessment in practice, and how to improve patient flow through hospitals.

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“…The concept of the application of electronic devices in clinical data and information collection is not new [2]. There had been several articles concerning the maintenance of electronic logbooks (e-logbooks) on smartphones and personal computers [3][4][5][6]. Moreover, the use of smartphones is quite high among healthcare professionals [7].…”

Section: Discussionmentioning

confidence: 99%

Using WhatsApp as a Quick-Access Personal Logbook for Maintaining Clinical Records and Follow-Up of Orthopedic Patients

Kumar¹,

Haider²,

Kumar³

et al. 2021

Cureus

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Record keeping is an important aspect of orthopedic teaching, training, and practice for both documentation purpose and academic use. Physical logbooks may act as important documents but do not provide quick searchable access to the data they contain. Through this technique, we describe a simple method of creating personalized clinical records/logbook on WhatsApp through which individual records can be accessed with minimal basic key information in a span of a few seconds.

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A retrospective analysis of case‐load and supervision from a large anaesthetic logbook database

Cited by 14 publications

References 9 publications

Anaesthetic training during the COVID‐19 pandemic

Anaesthetic training during the COVID‐19 pandemic

Perceptions of UK clinicians towards postoperative critical care

Using WhatsApp as a Quick-Access Personal Logbook for Maintaining Clinical Records and Follow-Up of Orthopedic Patients

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