The Impact of an Electronic Reminder on the Use of Alarms After Separation from Cardiopulmonary Bypass

Abstract

Introducing an automatic electronic reminder significantly increased the rate of alarm reactivation after separation from CPB. Real-time computerized decision-support tools can be developed within anesthesia information management system and may be useful for improving safety during anesthesia.

Decision Support Systems in Anesthesia, Emergency Medicine and Intensive Care Medicine

“…The need for DSSs even for very simple anesthetic gestures, such as turning on the ventilator alarms after separation from cardiopulmonary bypass (which cardiac anesthesiologist has not forgotten this? ), is demonstrated in a recent study (Eden et al, 2009). A simple electronic r e m i n d e r a s pa r t o f t h e A IM S ( F i g .…”

The organizational and clinical impact of integrating bedside equipment to an information system: A systematic literature review of patient data management systems (PDMS)

“…Ballermann et al [23] Moderate a -Ballermann et al [24] Strong -Benson et al [25] Moderate b, c Bosman et al [26] Strong -Bürkle et al [17] Weak a,d -De Mul et al [27] Strong De Reus [18] Weak e ,f,g ,b, c Doulgas et al [28] Strong Donati et al [29] Strong Strong Eden et al [30] Strong Strong Eden et al [31] Strong Ehrenfeld et al [32] Strong Eslami et al [33] Strong -Fraenkel et al [34] Strong -Fretschner et al [22] Weak h ,d Moderate i, e, g,b Junger et al [19] Weak h ,d Weak i ,e ,g, b,c Lipp and Williams [20] Weak i ,f ,g, b,c Menke et al [21] Weak a ,h -Meyfroidt et al [35] Strong -Nelwan et al [36] Strong Saarinen and Aho [37] Strong -Van Vliet [38] Moderate i, e, f,c Wong et al [39] Strong - remained for the full text review. Following analysis of the full text articles, 23 articles were considered relevant for the systematic literature review.…”

“…One article received a weak rating for the quantitative or qualitative component, but a moderate to strong rating for their descriptive component; Ballermann et al [23] Pre-post implementation x Ballermann et al [24] Pre-post implementation x Benson et al [25] x Bosman et al [26] Randomized controlled trial x De Mul et al [27] x Donati et al [29] Observational x x x Douglas et al [28] x Eden et al [30] Pre-post implementation x x x Eden et al [31] Pre-post implementation x Ehrenfel et al [32] Pre-post implementation x Eslami et al [33] Pre-post implementation x Fraenkel et al [34] Pre-post implementation x x Fretschner et al [22] x Meyfroidt et al [35] Pre-post implementation x Nelwan et al 2007 [36] x Saarinen and Aho [37] Pre-post implementation x Van Vliet [38] x Wong et al [39] Pre-post implementation x hence only their descriptive information was included [22]. Consequently, 18 studies were included in the systematic literature review.…”

“…Six articles opted for the term CIS (33%) [23,24,27,29,34,37] to describe an information system connected to bedside monitoring equipment, five articles (28%) [22,33,35,36,38] used the term PDMS, five articles used the term Anaesthesia Information Management System (AIMS, 28%) [25,28,[30][31][32] and two articles used the term intensive care unit (ICU) information system (ICUIS, 11%) [26,39].…”

Effect of a Cognitive Aid on Adherence to Perioperative Assessment and Management Guidelines for the Cardiac Evaluation of Noncardiac Surgical Patients

“…[7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] However, most research on clinical decision support has focused upon patient management after initial assessment and diagnosis or through mandatory alerts for providers, such as reminders for intraoperative antibiotic prophylaxis, postoperative nausea and vomiting prophylaxis, or proper use of alarms for separate from cardiopulmonary bypass. [26][27][28][29][30][31][32][33][34] In contrast, the use of DSTs for patient assessment/diagnosis and the subsequent application of evidence-based protocols has yet to be rigorously tested. 26 Furthermore, we are unaware of any studies that have investigated the effect of DSTs on adherence to guidelines for the preoperative assessment and planning for non-cardiac surgical patients.…”