A randomized comparison between records made with an...

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A randomized comparison between records made with an anesthesia information management system and by hand, and evaluation of the Hawthorne effect: a critique XXX XXXXX, MS, CRNA Midwestern University Doctorate of Nurse Anesthesia Program Glendale, AZ. Street: Zip: Voice phone number: XXX-XXX-XXXX Email: [email protected] Source of grant or financial support: This work was supported by grant 07/269R from the Health Research Council of New Zealand, a supplementary grant from the Green Lane Research and Educational Fund, and funding from the Performance-Based Research Fund (PBRF), School of Medicine, University of Auckland. Disclosure: The author has no commercial associations that might pose a conflict of interest in connection with this work.
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Introduction Kylie-Ellen Edwards, Hagen S. M., Hannam J., Kruger C., Richard Yu & Merry A. F. (2013). A randomized comparison between records made with an anesthesia information management system and by hand, and evaluation of the Hawthorne effect. Canadian Journal of Anaesthesia, 60, 990–997 doi: 10.1007/s12630-013-0003-y The following is a critical analysis of the article A randomized comparison between records made with an anesthesia information management system and by hand, and evaluation of the Hawthorne effect , by Kylie-Ellen Edwards, Sander M. Hagen, Jacqueline Hannam, Cornelis Kruger, Richard Yu and Alan F. Merry, published in the Canadian Journal of Anaesthesia. The article is based on a research by [Kyl13]conducted to compare anesthesia records made using the anesthesia information management system (AIMS) and handwritten records. A 32-item checklist was used to check for accuracy of records. The study was conducted at the adult anesthetic department of the Auckland City Hospital. The importance of anesthetic records in quality patient care cannot be under any grounds. The completeness of these records is therefore very vital. [Kyl13]explores the completeness of anesthesia records depending on the method used to make the record, that is either handwritten or using the AIMS. However, the levels of training of the professionals making these records is not explored in the study. The level of training has a significant effect on the accuracy of decisions made by professional and in this case, the information that is recorded either as text in the AIMS or handwritten on the record forms. The first 200 records used in the first part of the randomized control trial (RCT), for which [Kyl13] was a sub study, were taken under intensive observation by the researchers, while
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200 records for the second part of the sub study were taken under less intensive research observation conditions. In each case, the sample was comprised of equal numbers of each type of records (100 handwritten and 100 AIMS records). The effect of research observation on the accuracy of records was also under investigation through the study.
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  • Fall '08
  • Julier,L
  • Cornelis Kruger, Kylie-Ellen Edwards

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