Feasibility Study and Prototype Computerized Program Development of Anesthesia Electronic Medical Record
Keywords:
anesthesia, electronic medical recordAbstract
Introduction: An electronic medical record (EMR) is used not only to manage patient information but also to provide care service and perform job accountabilities. In addition, it yields comprehensive materials for clinical analysis.
Materials and Method: A prototype EMR including preoperative (AN01), intraoperative (AN02) and postoperative (AN03) events were developed and validated for its appropriateness. Target groups were thirty anesthesia personnel including 5 anesthesiologists, 5 for each 1st, 2nd and 3rd year residents; as well as nurse anesthetists and students. They all worked on 397 peri-operative patient data in virtual space. The fill-in anesthetic record was performed in a parallel manner via the EMR and a paper-pencil matter (PPR). Data were compared for its compliance using Cronbach’s alpha reliability and Mann-Whitney U test.
Results: The EMR was developed under C-sharp and ASP.net as windows and web application. Data migration was performed via Microsoft SQL-server using HL-7 as data transfer. The AN01, AN02, and AN03 showed its reliability of 0.73, 0.73 and 0.78 respectively. There were no significant differences of recorded data between the EMR and PPR.
Conclusion: The program showed its appropriateness for using in clinical anesthesia practice at the point of care.
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