AI Article Synopsis
- Documenting surgical complications is essential for quality improvement, but barriers exist in current reporting methods, prompting the development of a new web application for pediatric surgeons.
- The application allows for real-time entry of complications and sends reminders at key postoperative intervals, leading to a significant increase in recorded complications—780 cases captured versus only 276 by the hospital system.
- The study concluded that this application enhances the accuracy of reporting surgical complications, suggesting that custom informatics can improve self-reporting practices and the quality of pediatric surgical data.
Article Abstract
Purpose: Documenting surgical complications is limited by multiple barriers and is not fostered in the electronic health record. Tracking complications is essential for quality improvement (QI) and required for board certification. Current registry platforms do not facilitate meaningful complication reporting. We developed a novel web application that improves accuracy and reduces barriers to documenting complications.
Methods: We deployed a custom web application that allows pediatric surgeons to maintain case logs. The program includes a module for entering complication data in real time. Reminders to enter outcome data occur at key postoperative intervals to optimize recall of events. Between October 1, 2014, and March 31, 2015, frequencies of surgical complications captured by the existing hospital reporting system were compared with data aggregated by our application.
Results: 780 cases were captured by the web application, compared with 276 cases registered by the hospital system. We observed an increase in the capture of major complications when compared to the hospital dataset (14 events vs. 4 events).
Conclusions: This web application improved real-time reporting of surgical complications, exceeding the accuracy of administrative datasets. Custom informatics solutions may help reduce barriers to self-reporting of adverse events and improve the data that presently inform pediatric surgical QI.
Type Of Study: Diagnostic study/Retrospective study.
Level Of Evidence: Level III - case control study.
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| http://dx.doi.org/10.1016/j.jpedsurg.2016.10.036 | DOI Listing |
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