Automated Case Cancellation Review System Improves Systems-Based Practice

Journal of Medical Systems
Joseph R StarnesJonathan P Wanderer

Abstract

Accreditation Council for Graduate Medical Education (ACGME) core competencies of systems-based practice and practice-based learning and improvement are difficult to assess, as they are often not directly measurable or observable. Reviewing day-of-surgery cancellations could provide resident learning opportunities in these areas. An automated system to facilitate anesthesiology resident review of cancelled cases was implemented on the Preoperative Evaluation Clinic (PEC) rotation at the authors' institution. This study aims to evaluate its impact on resident education. Residents on the PEC rotation during the 6 months preceding (n = 22) and following (n = 13) implementation in 2014 were surveyed about their experience performing cancelled case reviews in order to ascertain the effect of the intervention on their training. Significant changes were reported in the number of cases reviewed by each resident (p < 0.0001), perceived importance of review (p = 0.03), and ease of review (p = 0.03) after system implementation. There was also an increase in the proportion of cancelled cases reviewed from 17.3% (34 of 196) to 95.6% (194 of 203) (p < 0.0001). Non-significant trends were seen in perceived rotation effect on ACGME competencie...Continue Reading

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Citations

May 26, 2017·Journal of Clinical Nursing·Elina TurunenKatri Vehviläinen-Julkunen
Jun 8, 2018·Anesthesia and Analgesia·Monica BhutianiJonathan P Wanderer
May 20, 2016·Anesthesia and Analgesia·Jonathan P WandererBrian S Rothman
May 28, 2021·Applied Clinical Informatics·Holly B EndeJonathan P Wanderer

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