JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Data Supplement Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (5) Citing Articles via Google Scholar Google Scholar Articles by O’Reilly, M. Articles by Burney, R. Search for Related Content PubMed PubMed Citation Articles by O’Reilly, M. Articles by Burney, R. Related Collections Equipment Technology Pharmacology

---

TECHNOLOGY, COMPUTING, AND SIMULATION

An Anesthesia Information System Designed to Provide Physician-Specific Feedback Improves Timely Administration of Prophylactic Antibiotics

Michael O’Reilly, MD, MS^*, AkkeNeel Talsma, PhD, RN, Sharon VanRiper, MS, RN, Sachin Kheterpal, MD^*, and Richard Burney, MD

From the *Department of Anesthesiology, Office of Clinical Affairs, Corporate Quality Improvement, Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan.

Address correspondence and reprint requests to: Michael O’Reilly, MD, Department of Anesthesiology, University of Michigan Health Systems, 1500 E Medical Center Dr., Room UH1H247, Ann Arbor, MI 48109-0048. Address e-mail to oreilly{at}umich.edu.

Surgical site infections are a frequent cause of morbidity and mortality and add significantly to the cost of care. One component of the national Surgical Infection Prevention (SIP) program is to ensure timely administration of prophylactic antibiotics, a key factor to reduce postoperative infection. Our anesthesia department decided to assume the responsibility for timing and administration of antibiotic prophylaxis and we initiated a multitiered approach to remind the anesthesiologist to administer the prophylactic antibiotics. We used our anesthesia clinical information system to implement practice guidelines for timely antibiotic administration and to generate reports from the database to provide specific feedback to individual care providers with the goal of ensuring that patients receive antibiotic prophylaxis within 1 h of incision. Before the initiation of this project, 69% of eligible patients received antibiotics within 60 min of the incision. After the program began, there was a steady increase in compliance to 92% 1 yr later. Provider-specific feedback increases compliance with practice guidelines related to timely administration of prophylactic antibiotics. Anesthesia information systems hold promise for implementing and monitoring new practice guidelines and the anesthesiologist may play a key role in influencing surgical outcomes by ensuring appropriate therapy that may not be directly related to anesthesia care.

This article has been cited by other articles:

				S. Muravchick, J. E. Caldwell, R. H. Epstein, M. Galati, W. J. Levy, M. O'Reilly, J. S. Plagenhoef, M. Rehman, D. L. Reich, and M. M. Vigoda Anesthesia Information Management System Implementation: A Practical Guide Anesth. Analg., November 1, 2008; 107(5): 1598 - 1608. [Abstract] [Full Text] [PDF]

				W. S. Sandberg Anesthesia Information Management Systems: Almost There Anesth. Analg., October 1, 2008; 107(4): 1100 - 1102. [Full Text] [PDF]

				R. H. Epstein, F. Dexter, and E. Piotrowski Automated Correction of Room Location Errors in Anesthesia Information Management Systems Anesth. Analg., September 1, 2008; 107(3): 965 - 971. [Abstract] [Full Text] [PDF]

				M. M. Vigoda, L. I. Rodriguez, E. Wu, K. Perry, R. Duncan, D. J. Birnbach, and D. A. Lubarsky The Use of an Anesthesia Information System to Identify and Trend Gender Disparities in Outpatient Medical Management of Patients with Coronary Artery Disease Anesth. Analg., July 1, 2008; 107(1): 185 - 192. [Abstract] [Full Text] [PDF]

				F. O. Kooij, T. Klok, M. W. Hollmann, and J. E. Kal Decision Support Increases Guideline Adherence for Prescribing Postoperative Nausea and Vomiting Prophylaxis Anesth. Analg., March 1, 2008; 106(3): 893 - 898. [Abstract] [Full Text] [PDF]

				W. S. Sandberg, E. H. Sandberg, A. R. Seim, S. Anupama, J. M. Ehrenfeld, S. F. Spring, and J. L. Walsh Real-Time Checking of Electronic Anesthesia Records for Documentation Errors and Automatically Text Messaging Clinicians Improves Quality of Documentation Anesth. Analg., January 1, 2008; 106(1): 192 - 201. [Abstract] [Full Text] [PDF]

				D. B. Wax, Y. Beilin, M. Levin, N. Chadha, M. Krol, and D. L. Reich The Effect of an Interactive Visual Reminder in an Anesthesia Information Management System on Timeliness of Prophylactic Antibiotic Administration Anesth. Analg., June 1, 2007; 104(6): 1462 - 1466. [Abstract] [Full Text] [PDF]

				J. Marymont, S. Greenberg, and M. Deshur Preoperative Antibiotic Administration and the Surgical "Time Out" Anesth. Analg., May 1, 2007; 104(5): 1306 - 1307. [Full Text] [PDF]

				S. Kheterpal, R. Gupta, J. M. Blum, K. K. Tremper, M. O'Reilly, and P. E. Kazanjian Electronic Reminders Improve Procedure Documentation Compliance and Professional Fee Reimbursement Anesth. Analg., March 1, 2007; 104(3): 592 - 597. [Abstract] [Full Text] [PDF]

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999