Improved difficult airway documentation using structured notes in Anesthesia Information Management Systems

Matava, Clyde; Caldeira-Kulbakas, Monica; Chisholm, Jesse

doi:10.1007/s12630-019-01544-z

Cited by 10 publications

(10 citation statements)

References 4 publications

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“…Lamsal et al, report improved communication during rapid response team activations following the implementation of standardized Epic “Smartphrases” on mobile devices 24 . Similarly, Matava et al report improved communication following the implementation of standardized difficult airway documentation 2 . The use of standardized documentation during the induction journey may assist subsequent providers in identifying strategies that can assist the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Structured standardized documentation in pediatric anesthesia has been reported to enhance the completeness and quality of clinical data. 2 With the increased use of the electronic medical record during the delivery of anesthesia care, documentation tools designed to accurately describe patient behavior during induction and response to anxiety reducing strategies can help inform future patient care and improve outcomes.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Accurate and complete documentation of the induction experience of children undergoing anesthesia by anesthesiologists and other members of the anesthesia care may provide valuable information during subsequent patient encounters and for quality improvement and research. Structured standardized documentation in pediatric anesthesia has been reported to enhance the completeness and quality of clinical data 2 . With the increased use of the electronic medical record during the delivery of anesthesia care, documentation tools designed to accurately describe patient behavior during induction and response to anxiety reducing strategies can help inform future patient care and improve outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Matava

Gentry

Simpao

et al. 2023

Pediatric Anesthesia

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Background:The induction of anesthesia in children poses a challenge for the anesthesiologist, the parent and child. Anxiety and negative behaviours and strategies that effectively mitigate should be documented accurately and be available for future patient encounters. To address the need for a structured and standardized electronic documentation tool.Aims: Our aim was to develop a comprehensive electronic tool to capture and report behaviours during induction of anesthesia. Methods:We performed a literature search on existing validated tools for documenting behaviours during anesthesia induction. We used the nominal group technique to achieve agreement on the components to include. We used Agile software development techniques to design and review the integrated electronic tool. Twelve international hospitals informed the development of the tool. Results:We developed an electronic tool, the Standardized Anesthesia InductioN Tool (SAINT). SAINT incorporates validated scales for documenting key stages of the anesthesia induction journey (separation from caregivers, mask acceptance, induction behaviour, parental presence, the use of adjuncts and their effectiveness). In addition, the standardised data elements used in SAINT allow for local reporting, quality metrics and can assist in data across multi-centre trials. To date the tool has been adopted by 133 institutions across four countries and is freely available. Conclusion:We show that collaborative development and rapid adoption of the comprehensive induction tool SAINT has led to its rapid adoption in the routine practice of pediatric anesthesiology across several countries. Further studies on how the SAINT

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Section: Discussionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Matava

Gentry

Simpao

et al. 2023

Pediatric Anesthesia

Self Cite

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“…[51][52][53] The use of structured notes within the electronic medical record has been shown to improve the quality of documentation and consequent reduction in adverse events. 54,56 ECS 12. "An anesthetic plan that includes early extubation and or weaning from ventilatory support can reduce postoperative pneumonia, ICU utilization, and hospital length of stay in this patient population.…”

Section: Anesthesia and Analgesiamentioning

confidence: 99%

Expert Consensus Statement on the Perioperative Management of Adult Patients Undergoing Head and Neck Surgery and Free Tissue Reconstruction From the Society for Head and Neck Anesthesia

Healy

Cloyd

Straker

et al. 2021

Anesthesia &Amp; Analgesia

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The perioperative care of adult patients undergoing free tissue transfer during head and neck surgical (microvascular) reconstruction is inconsistent across practitioners and institutions. The executive board of the Society for Head and Neck Anesthesia (SHANA) nominated specialized anesthesiologists and head and neck surgeons to an expert group, to develop expert consensus statements. The group conducted an extensive review of the literature to identify evidence and gaps and to prioritize quality improvement opportunities. This report of expert consensus statements aims to improve and standardize perioperative care in this setting. The Modified Delphi method was used to evaluate the degree of agreement with draft consensus statements. Additional discussion and collaboration was performed via video conference and electronic communication to refine expert opinions and to achieve consensus on key statements. Thirty-one statements were initially formulated, 14 statements met criteria for consensus, 9 were near consensus, and 8 did not reach criteria for consensus. The expert statements reaching consensus described considerations for preoperative assessment and optimization, airway management, perioperative monitoring, fluid management, blood management, tracheal extubation, and postoperative care. This group also examined the role for vasopressors, communication, and other quality improvement efforts. This report provides the priorities and perspectives of a group of clinical experts to help guide perioperative care and provides actionable guidance for and opportunities for improvement in the care of patients undergoing free tissue transfer for head and neck reconstruction. The lack of consensus for some areas likely reflects differing clinical experiences and a limited available evidence base.

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“…4 The use of AIMS has been shown to improve patient safety, quality of care, documentation, operations management, cost containment and reimbursement, and clinical research. 5,6 Parallel to the implementation and growth of AIMS and EHRs in the U.S. has been the growth of expertise in clinical informatics, and with it, the proliferation of clinical informaticians in the healthcare setting. Clinical informaticians are often clinicians with experience in the administration, oversight, and implementation of AIMS and EHRs or have undertaken professional training and certification.…”

Section: Re ´Sumementioning

confidence: 99%

The state of adoption of anesthesia information management systems in Canadian academic anesthesia departments: a survey

Kazemi

Lau

Simpao

et al. 2021

Can J Anesth/J Can Anesth

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Purpose Anesthesia information management systems (AIMS) are gradually replacing paper documentation of anesthesia care. This study sought to determine the current status of AIMS adoption and the level of health informatics expertise in Canadian academic anesthesia departments. Methods Department heads or their designates of Canadian academic anesthesia departments were invited by e-mail to complete an online survey between September 2019 and February 2020. The survey elicited information on current AIMS or future plans for an AIMS installation, the number of department members dedicated to clinical informatics issues, the gross level of health informatics expertise at each department, perceived advantages of AIMS, and perceived disadvantages of and barriers to implementation of AIMS. Results Of the 64 departments invited to participate, 63 (98.4%) completed the survey. Only 21 (33.3%) of the departments had AIMS. Of the 42 departments still charting on paper, 23 (54.8%) reported planning to install an AIMS within the next five years. Forty-six departments (73%) had at least one anesthesiologist tasked with dealing with AIMS or electronic health record issues. Most reported having no department members with extensive knowledge or formal training in health informatics. The top three perceived barriers and disadvantages to an AIMS installation were its initial cost, lack of funding, and a lack of technical support dedicated specifically to AIMS. The top three advantages departments wished to prioritize with AIMS were accurate clinical documentation, better data for quality improvement initiatives, and better data for research.

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Improved difficult airway documentation using structured notes in Anesthesia Information Management Systems

Cited by 10 publications

References 4 publications

Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Expert Consensus Statement on the Perioperative Management of Adult Patients Undergoing Head and Neck Surgery and Free Tissue Reconstruction From the Society for Head and Neck Anesthesia

The state of adoption of anesthesia information management systems in Canadian academic anesthesia departments: a survey

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