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Sreepada RS, Chang AC, West NC, Sujan J, Lai B, Poznikoff AK, Munk R, Froese NR, Chen JC, Görges M. Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation. JMIR Perioper Med 2023; 6:e47398. [PMID: 37725426 PMCID: PMC10548316 DOI: 10.2196/47398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 08/08/2023] [Accepted: 08/16/2023] [Indexed: 09/21/2023] Open
Abstract
BACKGROUND Anesthesiologists require an understanding of their patients' outcomes to evaluate their performance and improve their practice. Traditionally, anesthesiologists had limited information about their surgical outpatients' outcomes due to minimal contact post discharge. Leveraging digital health innovations for analyzing personal and population outcomes may improve perioperative care. BC Children's Hospital's postoperative follow-up registry for outpatient surgeries collects short-term outcomes such as pain, nausea, and vomiting. Yet, these data were previously not available to anesthesiologists. OBJECTIVE This quality improvement study aimed to visualize postoperative outcome data to allow anesthesiologists to reflect on their care and compare their performance with their peers. METHODS The postoperative follow-up registry contains nurse-reported postoperative outcomes, including opioid and antiemetic administration in the postanesthetic care unit (PACU), and family-reported outcomes, including pain, nausea, and vomiting, within 24 hours post discharge. Dashboards were iteratively co-designed with 5 anesthesiologists, and a department-wide usability survey gathered anesthesiologists' feedback on the dashboards, allowing further design improvements. A final dashboard version has been deployed, with data updated weekly. RESULTS The dashboard contains three sections: (1) 24-hour outcomes, (2) PACU outcomes, and (3) a practice profile containing individual anesthesiologist's case mix, grouped by age groups, sex, and surgical service. At the time of evaluation, the dashboard included 24-hour data from 7877 cases collected from September 2020 to February 2023 and PACU data from 8716 cases collected from April 2021 to February 2023. The co-design process and usability evaluation indicated that anesthesiologists preferred simpler designs for data summaries but also required the ability to explore details of specific outcomes and cases if needed. Anesthesiologists considered security and confidentiality to be key features of the design and most deemed the dashboard information useful and potentially beneficial for their practice. CONCLUSIONS We designed and deployed a dynamic, personalized dashboard for anesthesiologists to review their outpatients' short-term postoperative outcomes. This dashboard facilitates personal reflection on individual practice in the context of peer and departmental performance and, hence, the opportunity to evaluate iterative practice changes. Further work is required to establish their effect on improving individual and department performance and patient outcomes.
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Affiliation(s)
- Rama Syamala Sreepada
- Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
| | - Ai Ching Chang
- Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
| | - Nicholas C West
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
| | - Jonath Sujan
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
| | - Brendan Lai
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
| | - Andrew K Poznikoff
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
- Department of Anesthesia, BC Children's Hospital, Vancouver, BC, Canada
| | - Rebecca Munk
- Department of Anesthesiology, Kelowna General Hospital, Kelowna, BC, Canada
| | - Norbert R Froese
- Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
- Department of Anesthesia, BC Children's Hospital, Vancouver, BC, Canada
| | - James C Chen
- Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada
- Department of Anesthesia, BC Children's Hospital, Vancouver, BC, Canada
| | - Matthias Görges
- Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Vancouver, BC, Canada
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada
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Anand Bs S, Sujan J, N AK, M I. Diagnostic Modalities for the Detection of SARS-CoV-2: Principles, Advantages, and Pitfalls. Crit Rev Biomed Eng 2021; 48:235-260. [PMID: 33463960 DOI: 10.1615/critrevbiomedeng.2020035591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a significant worldwide health concern in recent months. The world has not dealt with such adversities since World War II. The spread has had a devastating and massive impact on global health, the economy, and people's everyday lives. With the crisis looming around the world, there is not yet any report of a clinically approved drug effective against this virus or or vaccine that can prevent people from getting infected. In this article, we describe different types of diagnostic tests currently used to detect SARS-CoV-2 infection. We also present an overview of the basic principles involved, advantages, and the pitfalls associated with each technique. This article also provides an insight into various supplementary diagnostic modalities, including recent advancements in sensing technologies and further clinical improvement and novelties to fight this pandemic.
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Affiliation(s)
- Suresh Anand Bs
- Department of Biomedical Engineering, Rajalakshmi Engineering College, Thandalam, Chennai, Tamil Nadu, India
| | - Jonath Sujan
- Department of Biomedical Engineering, Rajalakshmi Engineering College, Thandalam, Chennai, Tamil Nadu, India
| | - Ashwin Kumar N
- Department of Biomedical Engineering, SRM Institute of Science and Technology, Kattankulathur, Chennai, Tamil Nadu, India
| | - Ilamaran M
- Department of Biomedical Engineering, Rajalakshmi Engineering College, Thandalam, Chennai, Tamil Nadu, India
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