jueves, 25 de septiembre de 2014

Web-Based System for Scheduling and Informed Consent Eliminates Surgical Delays and Problems Related to Consent Forms, Handwriting, and Equipment | AHRQ Innovations Exchange

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Web-Based System for Scheduling and Informed Consent Eliminates Surgical Delays and Problems Related to Consent Forms, Handwriting, and Equipment | AHRQ Innovations Exchange

AHRQ Health Care Innovations

September 24, 2014 Issue
Innovations in Surgical Care

Innovations in Surgical Care

This issue includes















Summary

In collaboration with a hospital Web development team, surgeons at Cambridge Health Alliance conceived and implemented an integrated electronic system to schedule elective surgical procedures and aid in obtaining informed consent from patients. Surgeons enter relevant information into customized, procedure-specific templates they have created. Where appropriate, templates include prepopulated information and drop-down boxes to facilitate this process. The system automatically generates a consent form written in lay language, and after the patient gives consent the signed form is scanned into the system to ensure its availability at the time of the procedure. Relevant information from the system can subsequently be accessed by those who need it, including staff involved in obtaining insurance authorization, scheduling the procedure, and prepping the operating room and patient. The system has virtually eliminated delays and other problems caused by incomplete and lost consent forms, missing equipment, and illegible handwriting.

Evidence Rating (What is this?)

Moderate: The evidence consists primarily of pre- and post-implementation comparisons of the number of incomplete and lost consent forms and the availability of needed equipment in the operating room, along with post-implementation reports on how often problems arise due to illegible handwriting.

Developing Organizations

Cambridge Health Alliance

Date First Implemented

2010
Initial design and testing of the system began in 2010, with additional testing in 2011.

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