Review of a documentation procedure
Conditions
Interventions
Group 1: Group 1 (Anesthesia protocols on paper)
Group 2: Group 2 (Anesthesia protocols digital)
Sponsors
Universität Marburg Fachbereich Medizin
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: • Elective surgeries of all surgical disciplines at Klinikum Fulda • Semi-elective surgeries with marked urgency o N12: Surgery starts <12h after notification or at the end of the elective program as part of emergency management o N24: Urgent, surgery starts within 12–24h Note: Integration into the operating program of the following day o N48-72: Deferred urgent, surgery starts within 48–72h • Postoperative monitoring in the PACU
Exclusion criteria
Exclusion criteria: • Classified emergency intervention with NOO, NO1 or NO6 • Unplanned postoperative transfer to the recovery room/intensive care unit • Inadequately legible documentation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Completeness of documentation contents (paper vs. digital) measured against the total score (checklist defined documentation contents) | — |
Secondary
| Measure | Time frame |
|---|---|
| Completeness of individual documentation contents measured by the score (single item) Completeness of documentation contents (digital) with increasing application time Duration of PACU monitoring in minutes Number of documented complications (paper vs. digital) | — |
Countries
Germany
Contacts
Public ContactBenedikt Schäfer
Klinikum Fulda
Outcome results
None listed