Logging in: a comparative analysis of electronic health records versus anesthesia resident-driven logbooks
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REPORTS OF ORIGINAL INVESTIGATIONS
Logging in: a comparative analysis of electronic health records versus anesthesia resident-driven logbooks L’enregistrement : une analyse comparative des dossiers me´dicaux informatise´s par rapport aux logbooks des re´sidents en anesthe´sie Ryan McGinn, MD, MSc . Alexander J. Lingley, MSc . Daniel I. McIsaac, MD, MPH . Christopher Pysyk, MD . Meghan C. McConnell, PhD . Gregory L. Bryson, MD . Daniel Dubois, MD Received: 10 January 2020 / Revised: 12 May 2020 / Accepted: 15 May 2020 Ó Canadian Anesthesiologists’ Society 2020
Abstract Purpose Resident logbooks (RLBs) documenting clinical case exposure are widespread in medical education despite evidence of poor accuracy. Electronic health records (e.g., anesthesia information management systems [AIMS]) may provide advantages for auditing longitudinal case exposure. We evaluated the agreement between AIMS and RLBs for tracking case exposure during anesthesiology residency. Methods We performed a historical cohort study with anesthesiology residents (2011–2018, all of whom used a RLB contemporaneously with AIMS) working in a multisite academic health sciences network. The primary outcome
R. McGinn, MD, MSc C. Pysyk, MD Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada A. J. Lingley, MSc Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
was total case-load logging; secondary outcomes were volumes for seven surgical specialties (general, gynecology, neuro, orthopedic, thoracic, urology, and vascular surgery). Correlation of case numbers tracked by AIMS vs RLB was assessed using Pearson correlation; agreement was determined using Bland–Altman plots and intraclass correlation coefficients (ICC). Results Data from 27 anesthesiology residents were collected. Overall, mean (standard deviation) case numbers were generally greater with AIMS vs RLB [649 (103) vs 583 (191); P = 0.049). Total case volumes between systems had moderate correlation (r = 0.50) and agreement (intraclass correlation coefficient [ICC], 0.42;
G. L. Bryson, MD Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada
D. I. McIsaac, MD, MPH Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
D. Dubois, MD (&) Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada e-mail: [email protected]
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada
School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada
M. C. McConnell, PhD Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada
Department of Anesthesiology and Pain
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