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Managing paediatric bleeding disorder patients undergoing surgical procedures: Leveraging the electronic medical

C Tarango1,2, D Dahale3, N Dodson1

  • 1Division of Haematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Centre, Cincinnati, OH, USA.

Haemophilia : the Official Journal of the World Federation of Hemophilia
|May 24, 2018
PubMed

Insights

A new electronic medical record report helps identify surgeries for patients with bleeding disorders, improving peri-operative care and preventing potential cancellations. This system enhances communication for safer surgical planning.

Area of Science:

  • Hematology
  • Surgical Safety
  • Health Informatics

Background:

  • Patients with bleeding disorders face significant risks during surgery.
  • Effective peri-operative management is crucial for patient safety.
  • Current communication gaps between providers, patients, and families pose a risk.

Purpose of the Study:

  • To implement and evaluate an electronic medical record-based care gap report.
  • To proactively identify surgical procedures for patients with bleeding disorders.
  • To improve communication and peri-operative management in a haemophilia treatment centre (HTC).

Main Methods:

  • Linked an EMR-based patient registry with the hospital surgical schedule.
  • Daily reports generated by HTC staff identified upcoming procedures for patients with bleeding disorders.
  • Analyzed data for 6 months prior to and 2 years after report implementation.

Main Results:

  • The report could have identified most surgeries an average of 10 days in advance.
  • Post-implementation, 62 of 225 surgeries on patients with bleeding disorders were identified where the HTC lacked prior communication.
  • The system improved proactive identification of at-risk patients.

Conclusions:

  • The surgery care gap report effectively identifies procedures for bleeding disorder patients without relying on external communication.
  • Implementation led to improved peri-operative processes for patients with bleeding disorders.
  • This proactive approach has the potential to prevent surgery cancellations.
Abstract

Keywords:
bleeding disordercommunicationpatient registrypatient safetysurgery

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