Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942010000300007
Brazilian Journal of Anesthesiology
Scientific Article

Avaliação de relatório eletrônico de anestesia

Evaluation of a computerized anesthesia report

Raffael Pereira Cezar Zamper; Marcelo Luís Abramides Torres; Janice Leão Ferraz; Silvio Mori Neto; Rafael Holzhacker; Vanessa Shimada; Maria José Carvalho Carmona

http://dx.doi.org/10.1590/S0034-70942010000300007 Braz J Anesthesiol, vol.60, n3, p.285-301, 2010
PDF Português
PDF English
Downloads: 0
Views: 1089

Resumo

JUSTIFICATIVA E OBJETIVOS: A utilização de sistemas de informação que permitem o preenchimento automático de relatórios de anestesia ainda é incipiente no Brasil. O objetivo deste estudo foi validar um sistema informatizado para elaboração de relatório de anestesia. MÉTODOS: O projeto foi aprovado pela Comissão de Ética institucional e desenvolvido em sistema de parceria empresa-universidade (Dixtal, São Paulo, Brasil e Universidade de São Paulo) com financiamento da FINEP (Financiadora de Estudos e Projetos do Ministério de Ciência e Tecnologia). O projeto elaborado teve como premissa a integração ao sistema de informações hospitalares para recuperação de dados referentes à identificação, avaliação pré-operatória e resultados de exames laboratoriais. A versão final do protótipo do sistema informatizado desenvolvido foi submetida à avaliação com relação à aplicabilidade por meio de instrumento semiestruturado, aplicado a 33 médicos, residentes e/ou especialistas em Anestesiologia durante procedimentos anestésico-cirúrgicos realizados em 66 pacientes. Os dados foram avaliados descritivamente. RESULTADOS: O sistema informatizado avaliado foi considerado con fiável por 81% dos participantes, inclusive para cirurgias de grande porte. A maioria dos anestesiologistas considerou o protótipo proveitoso para a realização de pesquisas futuras e capaz de atender às necessidades de confecção de relatório de anestesia, com benefícios para anestesiologistas, pacientes e hospital. O sistema exige treinamento para uso completo e pode ser aprimorado em alguns aspectos. CONCLUSÕES: A validação desse protótipo de sistema informatizado para elaboração de relatório de anestesia mostrou a viabilidade desse tipo de solução para auxiliar os anestesiologistas em suas atividades diárias, aumentando a confiabilidade dos dados. Além disso, na avaliação da aplicabilidade, os anestesistas consideraram que o protótipo poderá ser útil para pacientes, médicos e hospital.

Palavras-chave

ANESTESIOLOGIA, ANESTESIOLOGIA, ANESTESIOLOGIA

Abstract

BACKGROUND AND OBJECTIVES: In Brazil, the use of information systems that allows filling out anesthesia reports automatically is still in its initial stages. The objective of this study was to validate an automated anesthesia record. METHODS: This study was approved by the Ethics Commission of the institution; an industry-university partnership (Dixtal, São Paulo, Brazil and Universidade de São Paulo) was developed, and the study received a grant from FINEP (Financiadora de Estudos e Projetos do Ministério de Ciência e Tecnologia). The integration of hospital information systems for recovery of data regarding identification, preoperative evaluation, and laboratorial exams was the premise of this study. The applicability of the final version of the prototype of the automated system was evaluated by applying a semi-structured tool to 33 physicians, residents, and/or anesthesiologists during surgery procedures in 66 patients. Descriptive evaluation of the data was undertaken. RESULTS: The computerized system was considered reliable even for large surgeries by 81% of the participants. The majority of the anesthesiologists considered the prototype of great value for future studies and capable of meeting the requirements of anesthesia reports, bringing benefits for anesthesiologists, patients, and hospitals. The full use of the system requires training and some of its aspects can be improved. CONCLUSIONS: Validation of this prototype of a computerized system for elaboration of anesthesia reports showed the viability of this type of solution to help anesthesiologists in their daily tasks, increasing the reliability of the data. Besides, when evaluating the applicability, anesthesiologists considered that the prototype could be useful for patients, physicians, and hospitals.

Keywords

ANESTHESIOLOGY, ANESTHESIOLOGY, ANESTHESIOLOGY

References

Reich DL, Wood RK, Mattar R. Arterial blood pressure and heart rate discrepancies between handwritten and computerized anesthesia records. Anesth Analg. 2000;91:612-616.

Thrush DN. Are automated anesthesia records better?. J Clin Anesth. 1992;4:386-389.

Sanborn KV, Castro J, Kuroda M. Detection of intraoperative incidents by electronic scanning of computerized anesthesia record: Comparison with voluntary reporting. Anesthesiology. 1996;85:977-987.

Lubarsky DA, Sanderson JC, Gilbert WC. Using an anesthesia information management system as a cost containment tool: Description and validation. Anesthesiology. 1997;86:1161-1169.

Lanza V. Automatic record keeping in anesthesia: a nine year Italian experience. Int J Clin Monit Comput. 1996;13:35-43.

Junger A, Hartmann B, Benson M. The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the postanesthesia care unit. Anesth Analg. 2001;92:1203-1209.

Jost A, Junger A, Zickmann B. Potential benefits of Anesthesia Information Management System for multicentre data evaluation: risk calculation of inotropic support in patients undergoing cardiac surgery. Med Inform Internet Med. 2003;28:7-19.

Ammenwerth E, Eichstadter R, Haux R. A randomized evaluation of a computer-based nursing documentation system. Methods Inf Med. 2001;40:61-68.

Quinzio L, Junger A, Gottwald B. User acceptance of an anaesthesia information management system. Eur J Anaesthesiol. 2003;20:967-972.

ISO 12207: System and software engineering - software lifecycle process. 2008.

Thys DM. The role of information system in anesthesia. .

Cook RI, McDonald JS, Nunziata E. Differences between handwritten and automatic blood pressures records. Anesthesiology. 1989;71:385-390.

Lerou JG, Dirksen R, van Daele M. Automated charting of physiological variables in anesthesia: a quantitative comparison of automated versus handwritten anesthesia records. J Clin Monit. 1988;4:37-47.

Benson M, Junger A, Fuchs C. Use of an anesthesia information management system (AIMS) to evaluate the physiologic effects of hypnotic agents used to induce anesthesia. J Clin Monit Comput. 2000;16:183-190.

Lesser JB, Sanborn KV, Valskys R. Severe bradycardia during spinal and epidural anesthesia recorded by an anesthesia information management system. Anesthesiology. 2003;99:859-866.

Lubarsky DA, Glass PS, Ginsberg . The successful implementation of pharmaceutical practice guidelines: Analysis of associated outcomes and cost saving. SWIPE Group Systematic Withdrawal of Perioperative Expenses. Anesthesiology. 1997;86:1145-1160.

Allard J, Dzwonczyk R, Yablok D. Effect of automatic record keeping on vigilance and record keeping time. Br J Anaesth. 1995;74:619-626.

Corky RD, Detmer WM, Friedman CP. Development and initial validation of an instrument to measure physicians' use of, knowledge about, and attitudes toward computers. J Am Med Inform Assoc. 1998;5:164-176.

5dd2dc000e8825630ac63493 rba Articles
Links & Downloads
2352-2291 (Electronic) 0104-0014 (Printed)
Braz J Anesthesiol ©2024 All rights reserved.

Braz J Anesthesiol

Share this page
Page Sections