Automating Anesthesiology Resident Case Logs Reduces Reporting Variability.

Autor:	Douglas MS; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Leeper L; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Peng J; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Lien D; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Lauer R; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Stier G; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., Gatling JW; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA., McCabe MD; The following authors are in the Department of Anesthesiology at Loma Linda University School of Medicine, Loma Linda, CA: is a Clinical Instructor; is an Assistant Professor; , , and are Associate Professors; is a Professor. is a Senior Extract, Transform, and Loading Developer in the Department of Data Governance at Loma Linda University Medical Center, Loma Linda, CA. is a Research Analyst in the Center for Health Research, at Loma Linda University School of Public Health, Loma Linda, CA.
Jazyk:	angličtina
Zdroj:	The journal of education in perioperative medicine : JEPM [J Educ Perioper Med] 2022 Oct 01; Vol. 24 (4), pp. E694. Date of Electronic Publication: 2022 Oct 01 (Print Publication: 2022).
DOI:	10.46374/volxxiv_issue4_mccabe
Abstrakt:	Background: The Accreditation Council for Graduate Medical Education (ACGME) case log system for anesthesiology resident training relies on subjective categorization of surgical procedures and lacks clear guidelines for assigning credit roles. Therefore, resident reporting practices likely vary within and between institutions. Our primary aim was to develop a systematic process for generating automated case logs using data elements extracted from the electronic health care record. We hypothesized that automated case log reporting would improve accuracy and reduce reporting variability. Methods: We developed a systematic approach for automating anesthesiology resident case logs from the electronic health care record using a discrete classification system for assigning credit roles and Anesthesia Current Procedure Terminology codes to categorize cases. The median number of cases performed was compared between the automated case log and resident-reported ACGME case log. Results: Case log elements were identified in the electronic health care record and automatically extracted. A total of 42 individual case logs were generated from the extracted data and visualized in an external dashboard. Automated reporting captured a median of 1226.5 (interquartile range: 1097-1366) total anesthetic cases in contrast to 1134.5 (interquartile range: 899-1208) reported to ACGME by residents ( P = .0014). Automation also decreased the case count interquartile range and the distribution approached normality, suggesting that automation reduces reporting variability. Conclusions: Automated case log reporting uniformly captures the resident training experience and reduces reporting variability. We hope this work provides a foundation for aggregating graduate medical education data from the electronic health care record and advances adoption of case log automation. Competing Interests: Conflicts of interest: None
Databáze:	MEDLINE
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