title: An assessment of a point-of-care information system for the anesthesia provider in simulated malignant hyperthermia crisis.
abstract: In this prospective, controlled study we compared the ability of anesthesia residents to diagnose and treat a simulated malignant hyperthermia (MH) scenario with and without the ability to use the On-Line Electronic Help (OLEH) information system or any other written guidelines. The OLEH is a point-of-care information system for the anesthesia provider in the operating room. The score for MH treatment after diagnosis based on clinical actions was significantly higher (P = 0.018) in the OLEH-user group (21.5 +/- 4.9) compared with a control group (15.5 +/- 7.6). This study demonstrates the possible value of a point-of-care information system in patient care; however, the significance of the results may be limited by the participants' anticipation of an acute event during training requiring the use of the OLEH.
authors.affiliation: The Department of Anesthesiology and Intensive Care and M.S.R-The Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel. berken@netvision.net.il
authors.forename: Haim
authors.initials: H
authors.lastname: Berkenstadt
authors.forename: Yakov
authors.initials: Y
authors.lastname: Yusim
authors.forename: Amitai
authors.initials: A
authors.lastname: Ziv
authors.forename: Tiberiu
authors.initials: T
authors.lastname: Ezri
authors.forename: Azriel
authors.initials: A
authors.lastname: Perel
mesh_terms: D000776:Anesthesiology / Q000193:education; D003198:Computer Simulation; D006801:Humans; D007396:Internship and Residency; D008305:Malignant Hyperthermia / Q000175:diagnosis* / Q000628:therapy*; D009870:Operating Room Information Systems; D019095:Point-of-Care Systems