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May 20, 2016Anesthesia & Analgesia

Advancing Perioperative Medicine and Anesthesia Practices into the Era of Digital Quality Improvement

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Key result

Real-time reporting systems reduce drug reconciliation errors compared to next-day reconciliation.

Design

Editorial

Authors

EGEilon GabelUniversity of California, Los AngelesIHIra HoferIcahn School of Medicine at Mount SinaiMCMaxime CannessonCardiac Imaging

Discussion

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Member takes

Overview

May improve real-time controlled substance accountability in anesthesia; leaves open effects on diversion or safety.

PICO

P
Population
Drug reconciliation errors in anesthesia
I
Intervention / Comparator
Real-time reporting system for drug reconciliation vs Next-day reconciliation
O
Primary Outcome
Drug reconciliation errors

This editorial highlights the potential of digital quality improvement systems, such as real-time drug reconciliation, to enhance perioperative medicine and anesthesia practices.

Limitations

  • Currently limited to a few pioneering centers with opportunistic growth and IT expertise.
  • Potential for information overload, cognitive saturation, and alarm or report fatigue.

Cite This Study

Gabel et al. (2016) conducted an editorial in Drug reconciliation errors in anesthesia. Real-time reporting system for drug reconciliation vs. Next-day reconciliation was evaluated on Drug reconciliation errors. A real-time reporting system comparing automated dispensing cabinet drug removal with anesthesia documentation significantly decreased drug reconciliation errors compared to next-day reconciliation.

synapsesocial.com/papers/6aa0c811afd97489ee8d3107https://doi.org/10.1213/ane.0000000000001307
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  5. 5Mind the Gap2011 · 5 citations