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现代麻醉师手册:麻醉病案参考应用的开发与维护。

The modern anesthesiologist's manual: the development and maintenance of an anesthesia case reference application.

机构信息

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

St. George's University, St. George's, Grenada.

出版信息

J Clin Monit Comput. 2024 Aug;38(4):901-906. doi: 10.1007/s10877-024-01153-2. Epub 2024 Apr 2.

Abstract

Anesthesia clinicians care for patients undergoing a wide range of procedures, making access to reliable references crucial. However, existing resources have key limitations. This technical report describes the development of an in-house anesthesia case reference application designed for use in a tertiary academic hospital. Additionally, it details our experiences in maintaining this system over a 22-month period and compares this system to alternative resources. Utilizing JavaScript and the React library, we developed a cross-platform perioperative reference application. Over fifty articles, encompassing anesthetic considerations for various surgical disciplines, have been created. Furthermore, we conducted a preliminary analysis of analytics data. In the 22 months since the application's inception, the application has garnered over 22,000 views from local users. While there are more than 150 registered users, the number of unregistered users accessing the application on the hospital network remains unknown. Notably, 70% of users accessed the application through a mobile device. The most popular articles centered around procedures with diverse and specific surgeon preferences. Currently, the reported case reference application is routinely utilized by anesthesia clinicians at our institution. Future endeavors will concentrate on establishing a robust content management workflow to broaden the coverage of topics.

摘要

麻醉临床医生负责照顾接受各种手术的患者,因此能够获得可靠的参考资料至关重要。然而,现有的资源存在关键的局限性。本技术报告描述了开发内部麻醉病例参考应用程序的过程,该应用程序专为三级学术医院使用而设计。此外,还详细介绍了我们在 22 个月的时间内维护该系统的经验,并将该系统与其他资源进行了比较。我们使用 JavaScript 和 React 库开发了一个跨平台的围手术期参考应用程序。已经创建了五十多篇文章,涵盖了各个外科专业的麻醉注意事项。此外,我们还对分析数据进行了初步分析。自应用程序推出以来的 22 个月中,该应用程序已获得本地用户的超过 22,000 次访问。虽然有超过 150 个注册用户,但仍不知道在医院网络上访问该应用程序的未注册用户数量。值得注意的是,有 70%的用户通过移动设备访问该应用程序。最受欢迎的文章集中在具有不同和特定外科医生偏好的手术程序上。目前,我们机构的麻醉临床医生经常使用报告的案例参考应用程序。未来的努力将集中于建立一个强大的内容管理工作流程,以扩大主题的覆盖范围。

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