Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Enterprise Reporting & Analytics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Appl Clin Inform. 2019 Aug;10(4):563-569. doi: 10.1055/s-0039-1693712. Epub 2019 Aug 7.
Young children who undergo radiation therapy may require general anesthesia to remain still during weeks of radiation sessions. On a typical day at our hospital, an anesthesia team will care for 10 patients in the radiation therapy suite, and each patient will have multiple prior anesthetic records. Daily review of prior anesthesia records is important to maintain anesthetic consistency and to identify potential improvement, yet our electronic health record (EHR) made such review time-consuming and cumbersome.
This article aims to design a visual analytics interface that simultaneously displays data from multiple anesthesia encounters to support clinical consistency in medications and airway management.
Documentation from the EHR is available in the clinical data warehouse following daily backups. A visual analytics interface was built to aggregate important components of multiple anesthesia encounters in pediatric radiation oncology on a single screen. The application was embedded in the EHR's anesthesia module and updated daily.
Each anesthesia encounter was represented by a vertical line with the date at the bottom of the screen. Each vertical line was divided into sections corresponding to the medications, type of airway device, type of radiation oncology procedure, days between treatments, and recovery score and time. Information about the medications, airways, and procedures was shown with icon legends. This layout enabled users to quickly see the key components of multiple anesthetics and make inferences between, for example, the medications used and the recovery score.
The dashboard provides a high-level summary of all radiation therapy anesthesia records for children receiving recurrent treatments. In this clinical scenario, it is desirable to replicate an optimal anesthetic approach for daily or near-daily treatments or adjust the anesthetic based on observed patterns.
接受放射治疗的幼儿可能需要全身麻醉，以便在数周的放射治疗过程中保持静止。在我们医院的典型一天，麻醉团队将在放射治疗套房中照顾 10 名患者，每名患者都有多个先前的麻醉记录。每天审查先前的麻醉记录对于保持麻醉一致性和识别潜在改进非常重要，但我们的电子健康记录 (EHR) 使此类审查既耗时又繁琐。
本文旨在设计一个可视化分析界面，同时显示来自多个麻醉的记录，以支持药物和气道管理方面的临床一致性。
EHR 的文档可在日常备份后从临床数据仓库中获得。构建了一个可视化分析界面，可将儿科放射肿瘤学中多个麻醉的重要组件聚合在单个屏幕上。该应用程序嵌入在 EHR 的麻醉模块中，并每天更新。
每个麻醉记录都由屏幕底部的日期表示的垂直线表示。每条垂直线分为对应于药物、气道设备类型、放射肿瘤学程序类型、治疗之间的天数以及恢复评分和时间的部分。药物、气道和程序的信息通过图标图例显示。这种布局使用户能够快速看到多个麻醉的关键组件，并在例如使用的药物和恢复评分之间进行推断。
该仪表板提供了接受复发性治疗的儿童所有放射治疗麻醉记录的高级别摘要。在这种临床情况下，理想情况下是复制每日或接近每日治疗的最佳麻醉方法，或根据观察到的模式调整麻醉。
