Abstract
Several studies have addressed the processing of anesthetic information by paper anesthetic data records or by the electronic storage and transfer of anesthetic data. Our purpose was to analyze the oral transfer of information in the postoperative period. We investigated 198 post-operative transfer situations with 120 patients in a U.S. hospital to compare the results with those of a former study in a German hospital. A great number of parameters were used in both hospitals, but there were remarkable differences. In the U.S. hospital numeric values of current vital functions, including oxygen saturation, were more common during information transfer, whereas in the German hospital the emphasis was on case history and chronic health status. The data from the U.S. hospital and those of the German hospital show that in spite of complete anesthetic records, a short (112.3±104 sec in the U.S. and 94.1±83.6 sec in Germany) oral information transfer is inevitable when the patient is transferred from the OR to the recovery room, and from the recovery room to the ward (122.7±61.4 sec in the U.S. and 88.0±73.0 in Germany). Softwave developpers of patient data management systems could learn from this study that in some situations it is necessary and possible to create a small set of data which will reflect the patients status quite well.
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References
Palmer SK, Gibbs CP. Risk management in obstetric anesthesia. Int Anesthesiol Clin 1989; 27: 188–99.
Cooper JB, Long CD, Newbower S, Philip JH. Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 1982; 56: 456–61.
Bendixen HH, Duberman SM. Decision making in the operating room. In: Grundy BL, Gravenstein JS, editors. The Quality of Care in Anesthesia. Springfield, IL: Charles C. Thomas, 1980: 88–99.
Friesdorf W, Hecker E, Schwilk B, Hähnel J. Analyse des Datenmanagement in der Anästhesie aus ergonomischer Sicht. Anästh Intensivther Notfallmed 1990; 25: 121–28.
Schwilk B, Friesdorf W. Informatic systems in anaesthesia. Curr Opin Anaesthesiol 1991; 4: 838–42.
Shapiro RM. The anesthetic data record. In: Breslow MJ, Miller CF, Rogers MC, editors. Perioperative Management. St. Louis, MO: C.V. Mosby, 1990: 138–46.
Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin. Maßnahmen zur Qualitätssicherung von Anästhesieverfahren. Anästh Intensivmed 1992; 33: 78–83.
Gild WM, Bennett JA. Medicolegal risks. In: Brown DL, editor. Risk and Outcome in Anesthesia. Philadelphia, PA: J.B. Lippincott, 1992: 561–72.
van der Aa JJ, Beneken JEW, van Oostrom JH, et al. Intraoperative information transfer: a summary display of patients status. J Clin Monit 1992; 8: 153–54.
Friesdorf W, Konichezky S, Gross-Alltag F, Schwilk B. Ergonomics applied to anaesthesia recrod keeping. Int J Clin Monit Comput 1993; 10: 251–59.
Schwilk B, Schirmer U, Ringeler U, Diepold B, Friesdorf W. Analyse der postoperativen Informationsübergabe. Anästh Intensivmed 1994; 35: 19–23.
Franke H. Praktische Durchführung von Arbeitsanalysen im Pflegebereich, Ergebnisse und Schlußfolgerungen. Krankenhaus Umschau 1969; 38: 92–103.
Frucht U, Hager E, Heyne W. Zeitliche Erfassung ausgewählter Tätigkeiten des Pflegepersonals auf zwei Intensivstationen. Anästh Intensivmed 1992; 33: 45–50.
Kalli I. Automated anaesthesia documentation: clinical evaluations in Helsinki University Central Hospital. In: Kenny GNC, editor. Ballieres Clinical Anaesthesiology. London: Bailliere Tindall, 1990: 141–52.
Kenny GNC. Implementation of computerized anaesthetic records. In: Kenny GNC, editor. Ballieres Clinical Anaesthesiology. London: Bailliere Tindall, 1990: 1–6.
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Schwilk, B., Gravenstein, N., Blessing, S. et al. Postoperative information transfer: a study comparing two university hospitals. J Clin Monit Comput 11, 145–149 (1994). https://doi.org/10.1007/BF01132362
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DOI: https://doi.org/10.1007/BF01132362