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Smart-phone Specification: o Functional • Point of care input (smart-phone/mini-tablet) • Capture outcomes (adverse events) • Capture provider performance metrics • Provide clinical decision support (CDS) • Configurable menus/functions by admin • Compliant error checking Postop note; documentation • Efficient data entry • minimize redundant data entry • nested menus • Independent of hospital IT/AIMS • Provide clinical RISK ALERTS o Technical • Native iOS, Android*, Windows 8 • WiFi or 3G/4G, Cloud based • asynchronous/offline operation • HIPAA/PHI compliant encryption • SQL compatible DB and reports • Bar code compatible M Jacques1 BS, X Fu1, PhD, FJ Overdyk2, MSEE, MD 1. Hofstra University Department of Computer Science 2. Hofstra North Shore-School of Medicine; North American Partners in Anesthesia * Current demo platform Smart-phone Outcomes/Adverse events* Level 1 Level2 Level 3 Aspiration Suspected CardioVascular CardioVascular CardioVascular Airway/Respiratory Confirmed Use of difficult airway equipment Cardiac Arrest (w CPR) CardioVascular ACS: Myocardial Ischemia req intervention CardioVascular Dysrhythmia requiring intervention Planned use of difficult airway equipment CardioVascular ACS: Myocardial Infarction Unplanned use of difficult airway equipment Unable to intubate Case Cancelled Day of Surgical airway required Surgery (1) on induction (2) upon emergence relieved by a) postive pressue Discharge/Planning b) sux c)pt intubated Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Airway/Respiratory Laryngospasm w intervention Bronchospasm w intervention Discharge/Planning Unplanned return to OR Pulmonary Edema Negative Pressure Unplanned Hospital Pulmonary Edema before ETT removal Discharge/Planning Admission (and 23 hr stays) Pulmonary Embolus Unplanned Discharge/Planning Unplanned ICU Admission reintubation Brain Injury Post Op Mechanical Ventilation NM block reversal in PACU Neurologic; Procedural Naloxone given Epidural abscess following regional Epidural hematoma following regional Antiemetic(s) in PACU Neurologic; Procedural Patient Satisfaction Patient Satisfaction Patient Safety Patient Safety Patient Safety Patient Safety Patient Safety Vomiting in PACU Nausea/Vomitingprolonged/resistant Unintended Awareness under GA Postoperative hypothermia <36 Medication error Equipment malfunction Patient Fall OR fire/burn Patient Safety Patient Safety Neurologic; Procedural Agitation requiring restraint/treatment Incorrect surgical site, side, patient, procedure, implant Incorrect regional block site, side, patient, procedure Other spinal cord injury Visual Loss Peripheral Nerve Injury: in distribution of or absence of Neurologic; Procedural regional anesthesia Neurologic; Procedural Failed Regional Block as primary anesthetic Pneumothorax Neurologic;Procedural Surface burn Neurologic/Procedural Airway fire Neurologic/Procedural OR fire Patient Safety Patient Safety CVA Hypoxemic brain Injury/Coma Other brain injury Spinal cord Event Airway/Respiratory Patient Satisfaction System Reasons Medical Reasons Patient Reasons Risk Alerts: Difficult Airway AICD/Pacemaker PCI Stent PONV OSA BMI Aspiration Risk Clinical Decision Support: After perithoracic vascular or regional procedures Other Post-Dural Puncture Headache Vascular Access Event Neurologic/Procedural Wet tap Neurologic/Procedural Local anesthetic toxicity Neurologic/Procedural Infection after peripheral nerve block Neurologic/Procedural Excessive block requiring airway support Pharmacy/Blood Bank Malignant Hyperthermia Pharmacy/Blood Bank Anaphylaxis Head/Neck Trauma Dental injury Head/Neck Trauma Head/Neck Trauma Corneal Abrasion Nondental Upper Airway Trauma Other Major Morbidity/Mortality Death SCIP Abx: Logistics; Printer *Anesthesia Business Group Criteria
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