| JOURNAL HOME | CME HOME | THIS MONTH | PAST ISSUES | ETOC | COLLECTIONS |
| AUTHORS | REVIEWERS | EDITORIAL BOARD | FEEDBACK | RSS | HELP |
| ||||||||||||||
| ||||||||||||||
|
|
|
|
||||||||||||
|
||||||||||||||
Departments of
*Anesthesiology and
Biomathematical Sciences, Mount Sinai School of Medicine, New York, New York
Address correspondence and reprint requests to David L. Reich, MD, One Gustave L. Levy Place, Box 1010, New York, NY 10029-6574. Address e-mail to david.reich{at}mssm.edu
Previous publications suggest that handwritten anesthesia records are less accurate when compared with computer-generated records, but these studies were limited by small sample size, unblinded study design, and unpaired statistical comparisons. Eighty-one pairs of handwritten and computer-generated neurosurgical anesthesia records were retrospectively compared by using a matched sample design. Systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and heart rate (HR) data for each 5-min interval were transcribed from handwritten records. In computerized records, the median of up to 20 values was calculated for SAP, DAP, and HR for each consecutive 5-min epoch. The peak, trough, standard deviation, median, and absolute value of the fractional rate of change between adjacent 5-min epochs were calculated for each case. Pairwise comparisons were performed by using Wilcoxon tests. For SAP, DAP, and HR, the handwritten record peak, standard deviation, and fractional rate of change were less than, and the trough and median were larger than, those in corresponding computer records (all with P < 0.05, except DAP median and HR peak). Considering together all the recorded measurements from all cases, extreme values were recorded more frequently in computerized records than in the handwritten records.
Implications: The discrepancies between handwritten and computerized anesthesia records suggest that some of the data in handwritten records are inaccurate. The potential for inaccuracy should be considered when handwritten records are used as source material for research, quality assurance, and medicolegal purposes.
This article has been cited by other articles:
|
|
 |
|
  S. E. Regenbogen, J. M. Ehrenfeld, S. R. Lipsitz, C. C. Greenberg, M. M. Hutter, and A. A. Gawande Utility of the Surgical Apgar Score: Validation in 4119 Patients Arch Surg, January 1, 2009; 144(1): 30 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Ehrenfeld, J. L. Walsh, and W. S. Sandberg Right- and Left-Sided Mallinckrodt Double-Lumen Tubes Have Identical Clinical Performance Anesth. Analg., June 1, 2008; 106(6): 1847 - 1852. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. D. Driscoll, M. A. Columbia, and R. A. Peterfreund An Observational Study of Anesthesia Record Completeness Using an Anesthesia Information Management System Anesth. Analg., June 1, 2007; 104(6): 1454 - 1461. [Abstract] [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]
|
|
|
|
|
|
D. L. Reich, S. Hossain, and C. A. Bodian What Good are Large Databases of Intraoperative Data? Anesth. Analg., July 1, 2006; 103(1): 252 - 252. [Full Text] [PDF]
|
|
|
|
|
|
D. L. Reich, S. Hossain, M. Krol, B. Baez, P. Patel, A. Bernstein, and C. A. Bodian Predictors of Hypotension After Induction of General Anesthesia Anesth. Analg., September 1, 2005; 101(3): 622 - 628. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Klasen, A. Junger, B. Hartmann, M. Benson, A. Jost, A. Banzhaf, M. Kwapisz, and G. Hempelmann Differing Incidences of Relevant Hypotension with Combined Spinal-Epidural Anesthesia and Spinal Anesthesia Anesth. Analg., May 1, 2003; 96(5): 1491 - 1495. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Reich, E. Bennett-Guerrero, C. A. Bodian, S. Hossain, W. Winfree, and M. Krol Intraoperative Tachycardia and Hypertension Are Independently Associated with Adverse Outcome in Noncardiac Surgery of Long Duration Anesth. Analg., August 1, 2002; 95(2): 273 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Hartmann, A. Junger, J. Klasen, M. Benson, A. Jost, A. Banzhaf, and G. Hempelmann The Incidence and Risk Factors for Hypotension After Spinal Anesthesia Induction: An Analysis with Automated Data Collection Anesth. Analg., June 1, 2002; 94(6): 1521 - 1529. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Mouren, G. De Winter, S. P. Guerrero, C. Baillard, M. Bertrand, and P. Coriat The Continuous Recording of Blood Pressure in Patients Undergoing Carotid Surgery Under Remifentanil Versus Sufentanil Analgesia Anesth. Analg., December 1, 2001; 93(6): 1402 - 1409. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Junger, B. Hartmann, M. Benson, E. Schindler, G. Dietrich, A. Jost, A. Beye-Basse, and G. Hempelmannn The Use of an Anesthesia Information Management System for Prediction of Antiemetic Rescue Treatment at the Postanesthesia Care Unit Anesth. Analg., May 1, 2001; 92(5): 1203 - 1209. [Abstract] [Full Text] [PDF]
|
|
|
