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Anesthesia recordkeeping: Accuracy ...

Davis, Thomas Corey.

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Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping./
Author:	Davis, Thomas Corey.
Description:	254 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .
Contained By:	Dissertation Abstracts International72-06B.
Subject:	Information Technology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3450419
ISBN:	9781124590707

Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping.
Davis, Thomas Corey.

Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping. - 254 p.

Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .

Thesis (Ph.D.)--Virginia Commonwealth University, 2011.

Introduction: Anesthesia information management systems are rapidly gaining widespread acceptance. Aggressively promoted as an improvement to manual-entry recordkeeping systems in the areas of accuracy, quality improvement, billing and vigilance, these systems record all patient vital signs and parameters, providing a legible hard copy and permanent electronic record. At risk is a potential loss of "connectedness" to the patient with the use of computerized recordkeeping, perhaps jeopardizing vigilance.

ISBN: 9781124590707Subjects--Topical Terms:

1030799
Information Technology.

Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping.
LDR:03278nam 2200349 4500 001 1403051
005 20111108080403.5
008 130515s2011 ||||||||||||||||| ||eng d
020 $a 9781124590707
035 $a (UMI)AAI3450419
035 $a AAI3450419
040 $a UMI $c UMI
100 1 $a Davis, Thomas Corey. $3 1682286
245 1 0 $a Anesthesia recordkeeping: Accuracy of recall with computerized and manual entry recordkeeping.
300 $a 254 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-06, Section: B, page: .
500 $a Adviser: Chuck Biddle.
502 $a Thesis (Ph.D.)--Virginia Commonwealth University, 2011.
520 $a Introduction: Anesthesia information management systems are rapidly gaining widespread acceptance. Aggressively promoted as an improvement to manual-entry recordkeeping systems in the areas of accuracy, quality improvement, billing and vigilance, these systems record all patient vital signs and parameters, providing a legible hard copy and permanent electronic record. At risk is a potential loss of "connectedness" to the patient with the use of computerized recordkeeping, perhaps jeopardizing vigilance.
520 $a Methods: This research analyzed differences in the accuracy of Certified Registered Nurse Anesthetists' (CRNAs) recall of specific patient variables during the course of an actual anesthetic case. CRNAs using computerized recordkeeping systems were compared to CRNAs using manual entry recordkeeping. Accuracy of recalled values of 10 patient variables was measured - highest and lowest heart rate, systolic blood pressure, inspiratory pressure, and end-tidal carbon dioxide levels, lowest oxygen saturation and total fluid volume. In addition, a filmed educational vignette was presented to evaluate any effect on accuracy of recall following this presentation. Four tertiary care facilities participated in this research. A Solomon four-group research design was selected to control for the effect of pretesting on results of the filmed educational treatment.
520 $a Results: 214 subjects participated in this study; 106 in the computerized recordkeeping group, and 108 in the manual entry recordkeeping group. Demographic covariates were analyzed to ensure homogeneity between groups and facilities. No significant statistical differences were identified between the accuracy of recall among the groups. There was no statistically significant effect of the educational film vignette on accuracy of recall.
520 $a Conclusions: There was no difference in the accuracy of practitioners' recall of patient variables when using computerized or manual entry recordkeeping systems, suggesting little impact on vigilance. The educational film presented did not have an effect on accuracy of recall following the discussion of benefits and limitations of methods of recordkeeping.
590 $a School code: 2383.
650 4 $a Information Technology. $3 1030799
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0489
690 $a 0769
710 2 $a Virginia Commonwealth University. $b Nurse Anesthesia. $3 1682287
773 0 $t Dissertation Abstracts International $g 72-06B.
790 1 0 $a Biddle, Chuck, $e advisor
790 1 0 $a Green, Jeffery A. $e committee member
790 1 0 $a Colquhoun, Alexander $e committee member
790 1 0 $a Hage, Brenda $e committee member
790 $a 2383
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3450419