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• W4381431844 abstract "Background: In 2014 as an anaesthetic trainee with no prior coding knowledge the first author (DL) developed a database to record all the data of our anaesthetic interventions on delivery suite. The general aim was to improve record keeping, but also make the audit process easier. Over the next 6 yr, DL continued to maintain and develop this database and implemented it in two different hospitals during their training. In 2020 Darent Valley Hospital I.T. department took on the next phase and from the ground up created a system which has allowed our department to achieve a paperless service. It has also enabled us to analyse the patient data for numerous quality improvement project (QIPs) and greatly improved patient care because of this. Methods: With the Trust I.T. department working together with the obstetric anaesthetic department we managed to create a web-based application that had full patient administration system (PAS) integration and the ability to generate an e-document at the end of each patient episode to store the notes electronically in the hospital’s clinical portal. This application was developed using PHP server-side scripting language and an HTML-based framework: data are stored in an MS SQL database. The application can be accessed on iPads, which allowed clinicians to do follow-up activities electronically. Results: The collection of accurate and easily accessible patient data has allowed our department to rapidly analyse data for multiple QIPs and quickly implement changes that improve patient care. Examples of this have been significant improvements in patient follow-up and tailoring of the elective Caesarean section anaesthetic regimen to reduce postoperative nausea and vomiting (PONV) and maximise analgesia. Conclusion: The full integration of this new application with the hospital PAS and clinical portal allows us to ensure no patient details are missed and all patient episodes formulate a fully digital form to record all the anaesthetic interventions and follow-up. The system automatically generates and stores the patient’s notes digitally. This enables us to be completely paperless and brought obvious improvements in our department’s sustainability. Collection and analysis of the data are key to improving the service we deliver to our patients and to improving anaesthetic techniques. The system has enabled clinicians to carry out multiple departmental audits efficiently using these data and has been greatly beneficial in departmental inspections such as the Care Quality Commission (CQC) visit. The promptness and quality of the data (for example, minutes waited till epidural insertion) were even commented on and praised in the CQC appraisal. The in-house solution allows prompt changes and improvement in data collection without any financial implication that an off the shelf software solution would demand, if they offered a tailored solution at all." @default.
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• W4381431844 date "2023-06-01" @default.
• W4381431844 modified "2023-09-25" @default.
• W4381431844 title "In-house anaesthetic database development: data driven care to improve patient care" @default.
• W4381431844 doi "https://doi.org/10.1016/j.bjao.2023.100149" @default.
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