Evaluation of a computerized anesthesia report.
OBJECTIVE
In Brazil, the use of information systems that allows filling out anesthesia reports automatically is still in its initial stages. The objective of this study was to validate an automated anesthesia record.


METHODS
This study was approved by the Ethics Commission of the institution; an industry-university partnership (Dixtal, São Paulo, Brazil and Universidade de São Paulo) was developed, and the study received a grant from FINEP (Financiadora de Estudos e Projetos do Ministério de Ciência e Tecnologia). The integration of hospital information systems for recovery of data regarding identification, preoperative evaluation, and laboratorial exams was the premise of this study. The applicability of the final version of the prototype of the automated system was evaluated by applying a semi-structured tool to 33 physicians, residents, and/or anesthesiologists during surgery procedures in 66 patients. Descriptive evaluation of the data was undertaken.


RESULTS
The computerized system was considered reliable even for large surgeries by 81% of the participants. The majority of the anesthesiologists considered the prototype of great value for future studies and capable of meeting the requirements of anesthesia reports, bringing benefits for anesthesiologists, patients, and hospitals. The full use of the system requires training and some of its aspects can be improved.


CONCLUSIONS
Validation of this prototype of a computerized system for elaboration of anesthesia reports showed the viability of this type of solution to help anesthesiologists in their daily tasks, increasing the reliability of the data. Besides, when evaluating the applicability, anesthesiologists considered that the prototype could be useful for patients, physicians, and hospitals.
Zamper
Raffael Pereira Cezar
RP
Anesthesiology Subject and Anesthesia Division of Instituto Central do Hospital das Clínicas (HC) of Faculdade de Medicina da Universidade de São Paulo (FMUSP), SP.
Torres
Marcelo Luís Abramides
ML
Ferraz
Janice Leão
JL
Neto
Silvio Mori
SM
Holzhacker
Rafael
R
Shimada
Vanessa
V
Carmona
Maria José Carvalho
MJ
D000758:Anesthesia; D006801:Humans; D016347:Medical Records Systems, Computerized