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Integrating Pediatric Anesthesia Sustainability Metrics into Native Electronic Health Records: A Clinical Informatics

Mandy Lam^1,2, Ashley Wu¹, Karna Patel³

¹Department of Anesthesia and Pain Medicine, Hospital for Sick Children, ON, Toronto, Canada.

Journal of Medical Systems

|September 22, 2025

Summary

Developing pediatric-specific anesthesia sustainability metrics integrated into electronic health records is feasible. This allows for real-time data capture and feedback to reduce greenhouse gas emissions in pediatric care.

Keywords:

Electronic health records Greenhouse emissions Healthcare sustainability Pediatric anesthesia Sustainability Total intravenous anesthesia

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Area of Science:

Environmental Science in Healthcare
Anesthesiology
Pediatric Medicine

Background:

Anesthetic gases contribute significantly to healthcare's greenhouse gas emissions.
Pediatric anesthesia faces unique challenges compared to adult practices for sustainability.
Third-party data applications for anesthesia records are expensive.

Purpose of the Study:

To develop and implement pediatric-specific anesthesia sustainability metrics.
To integrate these metrics into native electronic health record (EHR) systems.
To enable real-time data capture and feedback for environmental benchmarking.

Main Methods:

A nominal consensus group process identified 24 pediatric-focused sustainability metrics.
Metrics were integrated into Epic's Anesthesia module for automated data collection.
Interactive dashboards were created for department-wide and individual provider feedback.

Main Results:

The study demonstrated the feasibility of creating novel pediatric-specific sustainability metrics.
Automated data collection and feedback mechanisms were successfully implemented.
The developed metrics can be used within EHRs to benchmark environmental goals.

Conclusions:

Pediatric anesthesia sustainability metrics can be effectively designed and integrated into EHRs.
Real-time data capture and feedback are achievable within native systems.
This approach supports environmental goal setting and monitoring in pediatric anesthesia.