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Encouraging change in anesthesiology practice through electronic feedback to physicians: results from prototype
1Decision Systems Group, Brigham & Women's Hospital, Boston, MA, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|August 13, 2008
Summary
This study developed an electronic feedback system to improve anesthesiologist adherence to evidence-based medicine. The system provides practice data and educational materials to reduce postoperative nausea/vomiting (PONV).
Area of Science:
- Anesthesiology
- Medical Informatics
- Quality Improvement
Background:
- Healthcare providers often rely on anecdotal evidence over established best practices.
- The perpetuation of the status quo hinders the implementation of evidence-based medicine.
- Postoperative nausea/vomiting (PONV) is a common complication with published guidelines for management.
Purpose of the Study:
- To develop and evaluate an electronic feedback system for anesthesiologists.
- To integrate practice and outcome data with educational resources.
- To improve the adoption of best care practices for PONV control.
Main Methods:
- Selected best care practices for PONV control as a model outcome.
- Developed an electronic system to provide feedback on practice and outcomes.
- Combined data feedback with targeted educational materials for anesthesiologists.
Main Results:
- The system was designed to address the gap between anecdotal experience and evidence-based medicine.
- It aimed to provide actionable insights to clinicians.
- PONV was chosen due to its prevalence and the availability of guidelines.
Conclusions:
- Electronic feedback systems can support the implementation of evidence-based practices.
- Such systems have the potential to improve patient outcomes by bridging knowledge gaps.
- This approach can help overcome barriers to adopting best care standards in anesthesiology.
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