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Information needs for the OR and PACU electronic medical record
V Herasevich1, M A Ellsworth2, J R Hebl3
1Department of Anesthesiology, Mayo Clinic College of Medicine , Rochester, MN ; Multidisciplinary Epidemiology and Translation Research in Intensive Care (METRIC), Mayo Clinic College of Medicine , Rochester, MN.
Anesthesia providers need more electronic medical record (EMR) data in the operating room (OR) than in the post-anesthesia care unit (PACU). Optimizing EMRs for the OR can improve clinical decisions and reduce errors.
Area of Science:
- Anesthesiology
- Medical Informatics
Background:
- Anesthesia providers face information overload and medical errors due to excessive clinical data.
- Electronic Medical Record (EMR) viewer platforms in the OR and PACU can be improved for efficiency.
Purpose of the Study:
- To understand the intraoperative and post-anesthesia clinical information needs of anesthesia providers.
- To identify essential data items for improving EMR viewer platforms.
Main Methods:
- A web-based survey was distributed to anesthesia providers.
- 75 clinical data items were evaluated for importance in routine clinical decisions in the OR and PACU.
Main Results:
- 84% of data items were highly relevant in the OR versus 65% in the PACU.
- 40% of items were rated as absolutely necessary by over half of respondents for the OR, compared to 25% for the PACU.
- Only 1 item was deemed unnecessary in the OR, versus 27% of items in the PACU.
Conclusions:
- Anesthesia providers require more EMR data for OR decision-making than for PACU.
- Including clinically useful data and minimizing irrelevant data in EMRs is crucial for preventing information overload and medical errors.
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