The effect of teaching on the completeness of the anesthesia record charts for obstetric subarachnoid blocks in a low resource area hospital

Olateju, Simeon Olugbade; Adenekan, Anthony Taiwo; Owojuyigbe, Afolabi Muyiwa

doi:10.4103/2249-4472.155194

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…During pre-intervention and post-intervention weight of the patients were not recorded in 52.4% vs. 37.8% respectively. This finding was similar with previous studies from Ethiopia 2 , 9 , and Nigeria 8 , that showed a poor completion rate of demographic information of anaesthesia record tools. This indicates that the anaesthetists placed minimal emphasis on the calculation of accurate drug doses, ventilation parameters, airway equipment size, and fluid requirement, which directly affects the quality of anaesthesia delivery and perioperative patient outcome.…”

Section: Discussionsupporting

confidence: 92%

“…A comparative study done in Nigeria on the effect of teaching on the completeness of the anaesthesia record charts for obstetric subarachnoid blocks showed that from a total of 500 anaesthetic record, the average percentage completion of anaesthetic charts before the lecture (pre-intervention); first, second, third, and fourth audits (post-intervention) were 56.1%, 70.1%, 78.1%, 81.3%, and 87.7%, respectively 8 .…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

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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“…[17] Likewise, significant improvement in adequacy of documentation of anaesthetic record for obstetric spinal anaesthesia was noted after a teaching intervention. [18] Similar improvement for in-patient medical record completeness (from 73% to 84%) was seen after modifying the record format and training. [19]…”

Section: Discussionmentioning

confidence: 81%

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

et al. 2019

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Background and Aims:Anaesthesia information management system (AIMS) is increasingly implemented in many hospitals. Considering the capital cost involved in its installation and maintenance, it is important to evaluate its performance and adoptability by end users. This study assessed the completeness of manual data recording in the AIMS one year after its implementation and also evaluated potential predictors for completeness.Methods:In this retrospective audit of AIMS, 1000 electronic anaesthesia records of patients undergoing neurosurgical procedures over one year were assessed for completeness of 41 preidentified items, one year after its implementation. Parameters evaluated were patient identifiers, personnel identifiers, demographics, airway management parameters, anaesthesia management items and end-of-anaesthesia parameters. We hypothesised that completeness of anaesthesia record can be predicted by nature of surgeries, case sequence, seniority of anaesthesiologist and phase ( first or second) of the study period.Results:We observed higher completeness of manual data recording during phase 2 of AIMS use compared to phase 1. Higher grade of anaesthesiologist, second case of the day and emergency surgery led to reduction in completeness of data entry. Anaesthesiologist grade significantly predicted complete entry of 18 (44%) variables, case number predicted 8 (20%) variables and phase- and procedure-type predicted 6 (15%) and 5 (12%) variables, respectively.Conclusion:Completeness of manual data recording in the electronic AIMS is poor after one year of implementation. First case of the day, second phase of study period, elective cases and trainee anaesthesiologist are associated with better completeness of manual data recording in the AIMS.

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“…11 A study conducted in 2015 has shown that when awareness is created about the importance of anesthesia record form by teaching and regular audit can improve the overall completion rate of the record form. 12 According to new studies limitation of manual recording, can be over come by computerized record-keeping; as it has certain advantages like accurate record of intraoperative vital parameters, better quality of care and regulatory compliance. 13,14 This study has limitation as it was performed at one teaching hospital and does not reflect the practices at other hospitals.…”

Section: Discussionmentioning

confidence: 99%

Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study

et al. 2021

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Introduction: Intraoperative record form is one of the cardinal parts of anesthesia practices. Ideally, it should contain complete information about patients under anesthesia and intraoperative events. It serves as valuable information for subsequent patient management, research, or during medicolegal conditions. The objective of this study was to assess the practice and completeness of manual intraoperative anesthesia record keeping. Methods: A descriptive cross-sectional study was conducted from May 1 to July 31, 2021, in the postoperative ward of Kathmandu Medical College, which is a multispecialty tertiary care center. Approval from the ethical committee of Kathmandu Medical College Teaching Hospital was obtained (Reference: 2603202105) before conducting the study. Convenience sampling was used. The data were entered in Microsoft Excel and statistical analysis was done using Statistical Package for the Social Sciences version 20. Point estimate was done at 95% Confidence Interval and data present in numbers and percentages. We devised forty-two variables, which included demographics, personal identifiers, intraoperative events, anesthesia and airway management, intraoperative parameters, monitoring and medication. Results: The overall completion rate was 202 (52.59%) (47.6-57.57 at 95% Confidence Interval). Out of 42 variables, the completion rate of 14 variables was less than 50%. Among those were important parameters such as known allergies 94 (24.4%), Body mass index 50 (13%), intraoperative saturation of oxygen 104 (27%), intraoperative electrocardiogram recording 107 (27.8%), total fluid volume administered 45 (11.7%), patient status on transfer 84 (21.8%) had poor completion rate. Conclusions: Our intraoperative record form shows poor completion rate, which was similar to other studies. many important variables were missing and had incomplete data.

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The effect of teaching on the completeness of the anesthesia record charts for obstetric subarachnoid blocks in a low resource area hospital

Cited by 5 publications

References 12 publications

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

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

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

Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study

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