Changing medical group behaviors: increasing the rate of documentation of quality assurance events using an anesthesia information system
Journal
Anesth Analg
Publication Date
2006 Aug
Volume
103
Issue
2
Pages
390-5, table of contents
Summary:
- HIT Description: Data collection, data summary systems More info...
- Purpose of Study: evaluate whether optimization of quality assurance (QA) workflow in an electronic anesthesia record-keeping system would enhance completion rates of quality assurance forms
- Years of study: 2005
- Study Design: time series
- Outcomes: impact on patient safety
- Settings: Operating room and post-anesthesia care unit of one hospital
- Intervention: after notifying all anesthesia personnel about departmental policy regarding QA documentation, the QA form was integrated into the electronic documentation system so that it was the first window appearing to providers after the system was launched. Providers also subsequently received one-time individual feedback on performance and additional group performance information.
- Evaluation Method: completion rates analyzed using Standard Query Language queries on the PICIS database
- Description: automated anesthesia record-keeping system that provides vital sign data as well as allows the anesthesiologist to document events, medications and QA entries
- Strategy: initial educational notification regarding QA followed one month later by integration of the QA form into provider workflow, followed by one-time individual feedback, followed by 3 months of group completion reporting along with revised QA form workflow integration
- Quality of Care and Patient Safety Outcome: QA completion rates increased with each serial intervention (education, workflow integration, performance feedback), from baseline 48% to 78% at the end of the study period and continued to increase after the study period. Rates of reporting of complications was associated with increased QA form completion.