On the design of anaesthesia record forms
J A Fisher1, I L Bromberg, L B Eisen
1Department of Anaesthesia, Faculty of Medicine, University of Toronto, Ontario, Canada.
Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|October 1, 1994
Summary
This study outlines a rational method for designing anesthesia record forms, focusing on logical organization and user-friendly data entry. The developed anesthesia record was well-received, offering a template for other institutions.
Area of Science:
- Anesthesiology
- Medical Informatics
- Human Factors Engineering
Background:
- Review of historical anesthesia record forms to identify limitations.
- Need for a structured, evidence-based approach to anesthesia record design.
- Importance of optimizing information capture and accessibility in anesthesia care.
Observation:
- Exploration of the theoretical ideal anesthetic record.
- Development of specific criteria for including/excluding data fields.
- Identification of principles for logical information organization and ergonomic data entry.
Findings:
- A systematic methodology for designing anesthesia record forms was established.
- A new anesthesia record was developed and implemented using desktop publishing for rapid revisions.
- The new record design demonstrated improved ergonomics and information accessibility.
Implications:
- Provides a rational framework applicable to designing anesthesia records in other healthcare institutions.
- Potential to enhance data quality, patient safety, and clinical workflow through improved record design.
- Facilitates iterative design processes for medical documentation using modern publishing tools.
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