Clinical trial NCT02258100: Anesthesia Information System vs Paper Anesthesia Records for Care Congruency
Official title: Retrospective Review of an Anesthesia Information System and Paper Anesthesia Records for Care Congruency in a Single Surgical Population.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Paper Versus EMR Generated Anesthesia Records
Lead sponsor: Endeavor Health
Sponsor class: OTHER
First posted: 2014-10-07
Enrollment: 189
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients who underwent esophageal surgery with one surgeon from 2009-2014

Brief summary: To date the effect of AIMS on medical interventions has not been studied. We seek to retrospectively evaluate paper and electronic anesthesia records among a single surgical population (esophageal surgery) to ascertain any differences that may exist between cohorts with regards to chart completion, anesthetic management and medical care.

Detailed description: Anesthesia information systems (AIMS) are increasingly used to electronically capture physiologic and management data during anesthesia. Proponents tout an improved accuracy of data yet this has not been formally evaluated. Furthermore, whether AIMS is associated with changes in medical care is unknown. Studies with newer technologies have demonstrated increased medical interventions as a result of implementation. The pulmonary artery catheter was shown to increase medical interventions when used yet no improvement in outcomes are observed and some suggest a deleterious effect. 1 Several studies suggest improved patient care with electronic anesthesia records. 2,3 These all center around clinical decision support that reminds clinicians to give certain medications or ensure chart completion. Despite these advantages there are no studies evaluating the 'hawthorne effect' of AIMS. Physiologic data is now recorded at each data point using AIMS. This differs significantly from paper anesthesia records in which clinicians often chart physiologic trends choosing to omit spurious values. It is possible that a Hawthorne effect may occur in this scenario with increased data collection and an increased ability to scrutinize the medical record. Given the litigious nature of medical practice today, there is concern about the impact of AIMS on medicolegal liability. 4 Yet, to date the effect of AIMS on medical interventions has not been studied. We seek to retrospectively evaluate paper and electronic anesthesia records among a single surgical population (esophageal surgery) to ascertain any differences that may exist between cohorts with regards to chart completion, anesthetic management and medical care.

Eligibility criteria: Inclusion Criteria:

* Underwent esophageal surgery and had anesthetic documented in medical record

Exclusion Criteria:

* Cases less than one hour

Primary outcomes:
measure: Anesthetic Care; Drugs delivered
timeFrame: Anesthesia start to Anesthesia Stop
measure: documented hypotension
timeFrame: Anesthesia start to Anesthesia End (Intraoperative)
Secondary outcomes:
Other outcomes:
Locations:
city: Evanston
country: United States
facility: Evanston Hospital
state: Illinois
Study officials:
affiliation: Endeavor Health
name: Torin D Shear, MD
role: PRINCIPAL_INVESTIGATOR
References: