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A Novel Open-Source Novel App Improves Anesthesia Operating Room Equipment Supply

  • Systems-Level Quality Improvement
  • Published:
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Abstract

Anesthesiologists are dependent on specialized drugs and equipment being immediately available for patient care. Deficiencies in supplies impact on operating room efficiency and patient safety. In our institution, we do not have anesthesia assistants/aides and depend on general aides to stock anesthesia related equipment which resulted in many shortages. We hypothesized that a mobile app would be useful for tracking and reporting and informing changes to stocking resulting in an improvement in the supply of anesthesia equipment. Following institutional quality improvement approval, we developed an app to collect metrics (which included the last 2 months of paper documentation - September and October 2015) and the first 12 months of the app usage (November 2015 to November 2016). Descriptive statistics were used to analyze data from the app. The primary outcome was the number of reports made over time. Secondary outcomes include the impact of missing items on operating room efficiency and patient safety, the most commonly reported missing items, and the most common actions taken following the discovery of missing items. The app increased the reporting by more than 300% (compared to paper) over the first 2 months. Over the year, 549 items were reported missing. The most common category of missing items was airway related 274 (49.9%). The single most commonly reported missing item was the Wisconsin Laryngoscope Size 1 Blade 95 (17.3%). App users reported the missing item safety impact as high 86 (15.7%) times and efficiency impact as high 117 (21.3%) times. Changes to staffing and supply resulted in a decrease in missing items reported. Our results demonstrate that an app can be useful for reporting, tracking of real-time shortages of anesthesia equipment and is easy to design and implement. Furthermore, the app has generated useful and robust data that has led to staffing changes and improvements in the anesthesia equipment supply chain. The app design and use may be useful in other clinical areas.

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References

  1. Staziaki, P. V., Kim, P., Vadvala, H. V., and Ghoshhajra, B. B., Medical registry data collection efficiency: A crossover study comparing web-based electronic data capture and a standard spreadsheet. J. Med. Internet Res.. JMIR Publications Inc., Toronto, Canada 18(6):e141, 2016.

    Article  PubMed  PubMed Central  Google Scholar 

  2. McEvoy, M. D., Hand, W. R., Stiegler, M. P., DiLorenzo, A. N., Ehrenfeld, J. M., Moran, K. R. et al., A smartphone-based decision support tool improves test performance concerning application of the guidelines for managing regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy. Anesthesiology 124(1):186–198, 2016.

    Article  PubMed  CAS  Google Scholar 

  3. Sun, T., West, N., Ansermino, J. M., Montgomery, C. J., Myers, D., Dunsmuir, D., et al. A smartphone version of the faces pain scale-revised and the color analog scale for postoperative pain assessment in children. Lönnqvist P-A, editor. Pediatr. Anesth. 25(12):1264–73, 2015.

  4. Galvez, J. A., Lockman, J. L., Schleelein, L. E., Simpao, A. F., Ahumada, L. M., Wolf, B. A., et al., Interactive pediatric emergency checklists to the palm of your hand - How the Pedi crisis app traveled around the world. Thomas M, editor. Paediatr. Anaesth. 27(8):835–40, 2017.

  5. Matava, C., Leo, A.-M., and Alam, F., Mobile apps for teaching intubation: Scoping review and critical analysis in eLearning. JMIR Med. Educ. 3(2):e15, 2017.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tsai, J., and Bond, G., A comparison of electronic records to paper records in mental health centers. Int. J. Qual. Health Care. The Oxford University Press 20(2):136–143, 2008.

    Article  PubMed  Google Scholar 

  7. Stausberg, J., Koch, D., Ingenerf, J., and Betzler, M., Comparing paper-based with electronic patient records: Lessons learned during a study on diagnosis and procedure codes. J. Am. Med. Inform. Assoc. The Oxford University Press 10(5):470–477, 2003.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Meyer, J., Fredrich, D., Piegsa, J., Habes, M., van den Berg, N., and Hoffmann, W., A mobile and asynchronous electronic data capture system for epidemiologic studies. Comput. Methods Prog. Biomed. 110(3):369–379, 2013.

    Article  Google Scholar 

  9. Bart, T., Comparison of electronic data capture with paper data collection—Is there really an advantage. Bus Brief Pharmatech, 2003.

  10. Walther, B., Hossin, S., Townend, J., Abernethy, N., Parker, D., Jeffries, D., Comparison of electronic data capture (EDC) with the standard data capture method for clinical trial data. Biondi-Zoccai G, editor. PLoS ONE. Public Library of Science; 6(9):e25348, 2011.

  11. Schnall, R., Rojas, M., Bakken, S., Brown, W., Carballo-Dieguez, A., Carry, M., et al., A user-centered model for designing consumer mobile health (mHealth) applications (apps). J. Biomed. Inform. 60 IS -:243–51.

  12. Lewis, J. R., Sauro, J., The Factor Structure of the System Usability Scale. In: Kurosu M, editor. Human Centered Design: First International Conference, HCD 2009, Held as Part of HCI International 2009, San Diego, CA, USA, July 19-24, 2009 …. Berlin, Heidelberg: Springer Berlin Heidelberg; 2009. pp. 94–103. (Human Centered Design: First International Conference, HCD 2009, Held as Part of HCI International 2009, San Diego, CA, USA, July 19-24, 2009 Proceedings).

  13. Brooke, J., SUS: A quick and dirty usability scale. In: Jordan, P. W., Thomas, B., Weerdmeester, B., McClelland, I. L., (Eds.), Usability Evaluation in Industry. London, pp. 189–94, 1996.

  14. Chen, D. Q. P., Prestona, D. S., and Xia, W., Enhancing hospital supply chain performance: A relational view and empirical test. J. Oper. Manag. 31:391–408, 2013.

    Article  Google Scholar 

  15. Dobrzykowski, D., Deilami, V. S., Hong, P., and Kim, S., A structured analysis of operations and supply chain management research in healthcare. Int. J. Prod. Econ. 147:514–530, 2014.

    Article  Google Scholar 

  16. Priyan, S., Uthayakumar, R., Operations research in healthcare supply chain management under fuzzy-stochastic environment. In: Stochastic Processes and Models in Operations Research. IGI Global; pp. 271–314. (Operations Research in Healthcare).

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Funding

The study was funded by departmental resources.

Author information

Authors and Affiliations

  1. Department of Anesthesia and Pain Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada

    Clyde T. Matava & Michael Tan

  2. Department of Anesthesia, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    Clyde T. Matava & Michael Tan

  3. Information Systems, Perioperative Care Unit, Hospital for Sick Children, Toronto, ON, Canada

    Joyce Magbitang, Sunny Choi & Sabrina Bhatia

Authors
  1. Clyde T. Matava
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  2. Joyce Magbitang
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  3. Sunny Choi
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  4. Sabrina Bhatia
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  5. Michael Tan
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Corresponding author

Correspondence to Clyde T. Matava.

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Conflict of interest

The authors do not have any conflicts of interest to disclose.

Ethics

The study was approved under Quality Initiative by the Institutional Quality and Risk Management on October 7th, 2015.

Additional information

What is already known?

• The availability of anesthesia equipment at the bedside is vital for quality and safe patient care.

What is new?

• We describe the design, development and successful implementation of a novel app for real-time tracking and reporting of anesthesia equipment shortages.

• Reports of missing equipment improved by 300% compared to paper with a high user acceptance of the app.

This article is part of the Topical Collection on Systems-Level Quality Improvement

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Matava, C.T., Magbitang, J., Choi, S. et al. A Novel Open-Source Novel App Improves Anesthesia Operating Room Equipment Supply. J Med Syst 42, 167 (2018). https://doi.org/10.1007/s10916-018-1026-2

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  • DOI: https://doi.org/10.1007/s10916-018-1026-2

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