Increasing Operating Room Efficiency through Electronic Medical Record Analysis

2016 ◽  
Vol 26 (5) ◽  
pp. 106-113 ◽  
Author(s):  
AF Attaallah ◽  
OM Elzamzamy ◽  
AL Phelps ◽  
P Ranganthan ◽  
MC Vallejo
Keyword(s):  
Medical Record ◽  
Operating Room ◽  
Electronic Medical Record ◽  
Operating Room Efficiency

scholarly journals The impact of electronic medical record implementation on operating room efficiency

2015 ◽  
Vol 5 (1) ◽  
pp. 48 ◽  
Author(s):  
Richard Frazee ◽  
Alisa Cames ◽  
Yolanda Munoz Maldonado ◽  
Timothy Bittenbinder ◽  
Harry T Papaconstantinou
Keyword(s):  
Learning Curve ◽  
Medical Record ◽  
Operating Room ◽  
Electronic Medical Record ◽  
Control Charts ◽  
Analysis Data ◽  
Operating Room Efficiency ◽  
Start Time ◽  
Implementation Level ◽  
The Impact

Background: First start delays in the operating room have a downstream effect on operating room efficiency and patient satisfaction. In accordance with the American Recovery and Reinvestment Act, in February 2014, our institution adopted EPICTM as our electronic health record (EHR). The impact of the transition from paper to electronic documentation on operating room efficiency is not known. This study analyzed first start data as a measure of overall operative suite efficiency, looking at the initial impact and the learning curve to return to baseline parameters.Methods: A retrospective review of on time start data was reviewed for three months prior and 4 months after implementation of the EHR. A start was considered delayed if the patient arrived to the room after the 7:30 start time. Patients transported from the intensive care unit were excluded from analysis. Data was analyzed using control charts for the percentages and comparison of means using Dunnet’s methods. Confidence intervals were calculated at .05 and .01 for significance.Results: After EPIC implementation, there was an initial drop in on time starts from over 60% to 41% followed by gradual return to pre-implementation level within 4 months (p < .01).Conclusions: Implementation of an EHR produced decreased efficiency in on time first starts in the operative suite, but the learning curve was brief, returning to baseline values in 4 months. These findings can serve as a guide for other institutions that are undergoing transition from a paper to an electronic medical record.

scholarly journals Workflow efficiency pilot study of Surgery Viewer©: A secure hands-free intraoperative multimedia interface for Google Glass™

2019 ◽  
Vol 7 ◽  
pp. 205031211983841
Author(s):  
Salman Ahmad ◽  
John Tann ◽  
John Gaddy ◽  
Aaron McKenzie ◽  
Alan Zentz ◽  
...  
Keyword(s):  
Medical Record ◽  
Operating Room ◽  
Electronic Medical Record ◽  
Digital Camera ◽  
Live Streaming ◽  
Battery Life ◽  
Google Glass ◽  
Image Capture ◽  
Workflow Efficiency ◽  
Multimedia Interface

Background: The Google Glass™ heads-up-display system has been adopted by the medical field for applications such as image capture, live streaming and decision support. Methods: We designed a custom application for Google Glass™ called Surgery Viewer© to capture patient images and securely transfer them to the electronic medical record. Surgery Viewer© was compared to a standard digital camera and an Apple iOS© device using another image capture application. Comparative workflow metrics included timings of image capture and a usability survey. Results: Ten patients were studied in operating room and wound clinic settings. Average times to log in (Surgery Viewer©, Image Capture™) or turn on (digital camera) were 18.39 s, 9.91 s and 2.11 s for Surgery Viewer©, Image Capture™ and digital camera, respectively. In the operating room, the average times to select the correct patient were 3.06 s, 14.77 s and 4.45 s for Surgery Viewer©, Image Capture™ and digital camera, respectively. Average image capture times were 8.67 s, 7.77 s and 7.60 s for Surgery Viewer©, Image Capture™ and digital camera, respectively. Images captured by Surgery Viewer© and Image Capture™ were instantaneously uploaded to the electronic medical record, but digital camera images took on average 1522 s to be uploaded. In the wound clinic, the average times to select the correct patient were 16.29 s, 7.35 s and 4.63 s for Surgery Viewer©, Image Capture™ and digital camera, respectively. Image capture times were 9.55 s, 5.28 s and 3.47 s, respectively. Digital camera took on average 27,758 s to upload. Conclusion: Surgery Viewer© performed equivalently with Image Capture™ while digital camera took longer to upload. Users found the application easy to learn with Surgery Viewer© concerns, including log on procedure, ambient distraction from voice recognition, viewfinder perspective and battery life.

Virtuelle Medizin in der Behandlung von Sucht in den USA, Kanada und darüber hinaus

Suchttherapie ◽  
2020 ◽  
Vol 21 (04) ◽  
pp. 189-193
Author(s):  
R. Michael Krausz ◽  
Farhud Shams ◽  
Maurice Cabanis
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record Systems

ZusammenfassungInsbesondere während der aktuellen Corona-Pandemie hat der Gebrauch virtueller Lösungen in der Medizin international stark zugenommen. Es gibt eine zunehmende Akzeptanz gerade auch in dem Bereich der hausärztlichen Versorgung, der Behandlung psychischer Störungen und der Abhängigkeitserkrankungen.Die Entwicklung ist international unterschiedlich, v. a, wenn man die USA und Kanada auf der einen Seite und Europa, insbesondere Deutschland, andererseits vergleicht. In Nordamerika hat bei dem Einsatz von moderner Technologie die Einführung von „Electronic Medical Record Systems“ eine dominierende Rolle gespielt. Diese ist insbesondere auf Abrechnung und Dokumentation zu Versicherungszwecken fokussiert. Daneben gibt es zunehmend Apps, die spezifische therapeutische Ansätze zu implementieren helfen. Die Anwendung virtueller Ansätze im Suchtbereich ist begrenzt, aber in Teilen sehr innovativ und auf deutsche Verhältnisse anwendbar. Wie in Europa gibt es auch in Nordamerika nur sehr begrenzte Forschungskapazitäten und prinzipiell Widerstand bei den medizinischen Berufsgruppen bezüglich der Anwendungsmöglichkeiten und der Rolle im Behandlungsprozess. Mehr Kooperation würde international zu einer Beschleunigung der Entwicklung und der Etablierung gemeinsamer Standards beitragen sowie die Behandlungssysteme bedeutend verbessern.

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