Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation
BackgroundAnesthesiologists 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...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2023-09-01
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| Series: | JMIR Perioperative Medicine |
| Online Access: | https://periop.jmir.org/2023/1/e47398 |
| _version_ | 1797326925442580480 |
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| author | Rama Syamala Sreepada Ai Ching Chang Nicholas C West Jonath Sujan Brendan Lai Andrew K Poznikoff Rebecca Munk Norbert R Froese James C Chen Matthias Görges |
| author_facet | Rama Syamala Sreepada Ai Ching Chang Nicholas C West Jonath Sujan Brendan Lai Andrew K Poznikoff Rebecca Munk Norbert R Froese James C Chen Matthias Görges |
| author_sort | Rama Syamala Sreepada |
| collection | DOAJ |
| description |
BackgroundAnesthesiologists 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.
ObjectiveThis quality improvement study aimed to visualize postoperative outcome data to allow anesthesiologists to reflect on their care and compare their performance with their peers.
MethodsThe 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.
ResultsThe 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.
ConclusionsWe 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. |
| first_indexed | 2024-03-08T06:31:12Z |
| format | Article |
| id | doaj.art-530d8a99dbf54e87b9b991153aca54b6 |
| institution | Directory Open Access Journal |
| issn | 2561-9128 |
| language | English |
| last_indexed | 2024-03-08T06:31:12Z |
| publishDate | 2023-09-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Perioperative Medicine |
| spelling | doaj.art-530d8a99dbf54e87b9b991153aca54b62024-02-03T11:39:43ZengJMIR PublicationsJMIR Perioperative Medicine2561-91282023-09-016e4739810.2196/47398Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary EvaluationRama Syamala Sreepadahttps://orcid.org/0000-0002-6271-6077Ai Ching Changhttps://orcid.org/0000-0002-3353-7205Nicholas C Westhttps://orcid.org/0000-0001-8382-5136Jonath Sujanhttps://orcid.org/0000-0001-8161-3877Brendan Laihttps://orcid.org/0009-0001-0684-1711Andrew K Poznikoffhttps://orcid.org/0000-0002-7633-9540Rebecca Munkhttps://orcid.org/0000-0002-9195-8614Norbert R Froesehttps://orcid.org/0000-0002-6373-287XJames C Chenhttps://orcid.org/0000-0001-6022-7352Matthias Görgeshttps://orcid.org/0000-0003-2193-178X BackgroundAnesthesiologists 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. ObjectiveThis quality improvement study aimed to visualize postoperative outcome data to allow anesthesiologists to reflect on their care and compare their performance with their peers. MethodsThe 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. ResultsThe 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. ConclusionsWe 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.https://periop.jmir.org/2023/1/e47398 |
| spellingShingle | Rama Syamala Sreepada Ai Ching Chang Nicholas C West Jonath Sujan Brendan Lai Andrew K Poznikoff Rebecca Munk Norbert R Froese James C Chen Matthias Görges Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation JMIR Perioperative Medicine |
| title | Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation |
| title_full | Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation |
| title_fullStr | Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation |
| title_full_unstemmed | Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation |
| title_short | Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation |
| title_sort | dashboard of short term postoperative patient outcomes for anesthesiologists development and preliminary evaluation |
| url | https://periop.jmir.org/2023/1/e47398 |
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