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A Prospective Observational Study of EHR-Based Versus Virtual Desktop-Based Access to Pediatric Anesthesia Emergency
Allyson M Marks1, Greg Johnson1,2, Umberto Gidaro1
1Children's Hospital of Philadelphia.
Studies in Health Technology and Informatics
|July 25, 2024
Summary
A new one-click button significantly speeds up access to critical pediatric anesthesia emergency algorithms for nurses. This improvement enhances patient safety during rapid deteriorations in care.
Area of Science:
- Pediatric Anesthesiology
- Health Informatics
- Nursing Workflow Optimization
Background:
- Pediatric anesthesia emergencies require rapid responses.
- Society for Pediatric Anesthesia (SPA) algorithms serve as crucial cognitive aids.
- Current access methods via electronic health records (EHR) can cause delays.
Purpose of the Study:
- To evaluate the efficiency of a new one-click button for accessing SPA emergency algorithms.
- To compare the time taken to access algorithms using the new button versus the traditional EHR navigation.
- To assess the usability of the new algorithm access method.
Main Methods:
- Observational study comparing algorithm access times.
- Implementation of a one-click button in the EHR intraoperative navigator toolbar.
- Usability survey administered to operating room nurses.
Main Results:
- The one-click button significantly reduced the time required to access and display emergency algorithms.
- Nurses found the new method more efficient and user-friendly.
- Workflow interruptions were minimized with the integrated button.
Conclusions:
- A one-click button integrated into the EHR intraoperative navigator is an effective method for improving access to critical pediatric anesthesia emergency algorithms.
- This optimization can enhance response times during critical events.
- Streamlining access to cognitive aids supports better patient care in pediatric anesthesia.

