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Using Visual Analytics to Determine the Utilization of Preoperative Anesthesia Assessments
J P Wanderer1, C L Gruss2, J M Ehrenfeld3
1Departments of Anesthesiology and Biomedical Informatics, Vanderbilt University , Nashville, TN, United States.
Applied Clinical Informatics
|January 15, 2016
Summary
Preoperative anesthesia assessments are accessed by many non-anesthesia clinicians, revealing previously unknown usage patterns. This data informs perioperative workflow improvements.
Area of Science:
- Medical Informatics
- Health Services Research
- Clinical Workflow Analysis
Background:
- Preoperative assessments are crucial for anesthetic care.
- Utilization by non-anesthesia teams remains poorly understood.
- Perioperative workflow restructuring necessitates understanding documentation use.
Purpose of the Study:
- To analyze the utilization of preoperative anesthesia assessments by non-anesthesia personnel.
- To identify patterns of access and user roles for these documents.
- To inform perioperative workflow improvements through data visualization.
Main Methods:
- Electronic medical record audit log data was analyzed over 140 days.
- Accesses to preoperative anesthesia assessment documents were queried.
- User roles were categorized, and descriptive statistics/visualizations were generated using R.
Main Results:
- Over 73,000 accesses to preoperative anesthesia assessments were recorded.
- Assessments from the clinic were accessed more than those from the day of surgery.
- Diverse users, including researchers and attendings, accessed historical documents.
Conclusions:
- Data visualization identified novel utilization patterns by various clinical staff.
- Understanding documentation dependencies aids in optimizing perioperative workflows.
- This visual analytic approach is applicable to diverse clinical documentation contexts.
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