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首页> 外文期刊>British journal of anaesthesia >Feedback system to estimate the quality of outpatient preoperative evaluation records: an analysis of end-user satisfaction.
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Feedback system to estimate the quality of outpatient preoperative evaluation records: an analysis of end-user satisfaction.

机译：评估门诊病人术前评估记录质量的反馈系统：对最终用户满意度的分析。

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BACKGROUND: During preanaesthesia evaluation at an outpatient clinic, information is summarized and structured. We aimed to estimate the effectiveness of this process by determining the proportion of patients presenting for surgery who had valid preoperative anaesthesia assessment records, and also the proportion of patients with a record that contained sufficient information. METHODS: This study included all non-cardiac surgery procedures performed in adults in 2006 and 2007 in a university hospital. In each case, we asked the anaesthesiologist actually providing anaesthesia to assess the quality of the preoperative record on an electronic feedback form showing a predefined drop down menu and a free text box. The primary outcome was the proportion of procedures with a valid record (< 6 months old) that also contained sufficient and adequate information to safely provide anaesthesia. Secondly, all predefined remarks were assessed for relevance and the proportion of (relevant) remarks per individual anaesthesiologist was calculated. RESULTS: During the study period, 21 454 procedures were performed. A valid record was available in 20 700 procedures (97%). In 459 (2%) cases, a remark (mostly about not detected comorbidity) was given by the anaesthesia provider, of which 347 (76%) were assessed as 'relevant', resulting in 20 353 (95%) valid records containing sufficient and adequate information. Between individual anaesthesiologists, the percentage remarks ranged from 0.4% to 12.7%. CONCLUSIONS: On entering the operating theatre, 95% of elective surgery patients had a preanaesthesia evaluation record that contained sufficient and adequate information to safely provide anaesthesia. There was large variability in reporting remarks.
机译：背景：在门诊诊所进行麻醉前评估时，信息会进行汇总和结构化。我们旨在通过确定具有有效术前麻醉评估记录的手术患者比例以及具有足够信息的记录患者比例来评估这一过程的有效性。方法：本研究包括2006年和2007年在大学医院对成人进行的所有非心脏手术程序。在每种情况下，我们都要求麻醉师实际提供麻醉，以通过电子反馈表评估术前记录的质量，该电子反馈表显示预定义的下拉菜单和自由文本框。主要结局是具有有效记录（<6个月大）的手术比例，该记录还包含足以安全进行麻醉的足够信息。其次，评估所有预定义的评论的相关性，并计算每位麻醉师（相关）评论的比例。结果：在研究期间，共进行了21454次手术。有效记录可通过20 700例程序获得（97％）。在459例（2％）病例中，麻醉提供者发表了评论（主要是关于未检测到合并症），其中347例（76％）被评估为“相关”，导致20 353例（95％）有效记录中包含和足够的信息。在个别麻醉师之间，意见百分率在0.4％至12.7％之间。结论：进入手术室时，95％的择期手术患者具有麻醉前评估记录，该记录包含足以安全进行麻醉的足够信息。报告内容差异很大。

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