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.
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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