Цифровизация службы анестезиологии и реаниматологии: многоцентровое анкетное исследование

Kuban State Medical University, Krasnodar, Russia; Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; Krasnodar Regional Clinical Hospital No. 2, Krasnodar, Russia

https://orcid.org/0000-0002-3623-2546

PDF_2024-2_43-53 (Русский)

Keywords

digitalization
medical information system
digital technologies
safety
equipment integration

How to Cite

Gorban V.I., Shchegolev A.V., Protsenko D.N., Gritsan A.I., Grigoryev E.V., Dunts P.V., Levit A.L., Zabolotskikh I.B. Digitalization of anesthesiology and resuscitation services: multicenter questionnaire study. Annals of Critical Care. 2024;(2):43–53. doi:10.21320/1818-474X-2024-2-43-53.

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Abstract

OBJECTIVE: To substantiate recommendations for the implementation of the concept and technologies of digitalization of the anesthesiology and resuscitation (A&R) service in multidisciplinary hospitals to solve the problem of ensuring the safety of patients and medical personnel. MATERIALS AND METHODS: The study presents data on the implementation of information technology in the practice of the A&R service based on information received from 235 anesthesiology and resuscitation specialists working in leadership positions in various categories of healthcare institutions. Method of collecting information: experts independently completed the online version of the questionnaire. Sampling principle: intentional. Survey period: April 12, 2023 — August 4, 2023. RESULTS: In 87 % of hospitals the medical information system (MIS) of the A&R service is part of the hospital’s MIS. Only in 23 % of hospitals all workstations of the anesthesiologist-resuscitator are connected to the MIS. Logging into a personal electronic workplace using access rights on any of the hospital’s personal computers was confirmed by 87 % of respondents. Hospitals in which anesthesiology and resuscitation equipment are not integrated into the MIS account for 89 %. In the case of branches with a local A&R information system, equipment in 44 % of similar branches is connected to it. Only in 51 % of hospitals the A&R receives data from the laboratory information system, the integration rates with the radiological information system are even lower and amount to only 34 %. The study revealed a significant problem with the introduction of clinical recommendations, drug reference books, as well as prevention and manipulation protocols, various requirements and, in particular, scales/indices for assessing the condition of patients into the MIS. CONCLUSIONS: For the full functioning of the MIS, organizational solutions are needed that are aimed at implementing the tasks, primary and future. The development and application of modern MIS in anesthesiology and resuscitation will contribute to the further development of the specialty and ensure patient safety and adequate quality of medical care. It is necessary to unify the requirements for MIS developers according to the main components in the functionality.

https://doi.org/10.21320/1818-474X-2024-2-43-53

PDF_2024-2_43-53 (Русский)

Full-text of the article is available for this locale: Русский.

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Онлайн анкета «Оценка цифровизации службы анестезиологии и реаниматологии. Многоцентровое исследование на основе анкетирования». Доступ по: https://forms.gle/Bza96aNMLwZdeNfv6 Дата обращения: 16.01.2024 [Online questionnaire “Assessment of digitalization of anesthesiology and intensive care services. Multicenter survey-based study”. Available at: https://forms.gle/Bza96aNMLwZdeNfv6 Accessed: 01/16/2024 (In Russ)]

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Digitalization of anesthesiology and resuscitation services: multicenter questionnaire study

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Digitalization of anesthesiology and resuscitation services: multicenter questionnaire study

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