Assessment of the Completeness of Perioperative Electronic Anesthesia Record Sheet of Surgical Patients at Hakim Gizaw Hospital, A Descriptive Retrospective Cross Sectional Study,2024

Assessment of the Completeness of Perioperative Electronic Anesthesia Record Sheet of Surgical Patients at Hakim Gizaw Hospital, A Descriptive Retrospective Cross Sectional Study,2024 | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessment of the Completeness of Perioperative Electronic Anesthesia Record Sheet of Surgical Patients at Hakim Gizaw Hospital, A Descriptive Retrospective Cross Sectional Study,2024 Desta Waktasu, Meaza Teshome, Molla Amsalu, Meskerem Dagne, Fetene Seyoum, and 6 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4816129/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Accurate and detailed documentation of anaesthesia records is crucial for maintaining patient safety and delivering high-quality perioperative care. Well organized documentation either electronic or manual is mandatory for providing good care or performing research. This research aimed to evaluate the adequacy of electronic anaesthesia record sheets for surgical patients at Hakim Gizaw Hospital. Methods A retrospective cross-sectional method was used to examine the electronic anaesthesia records of 179 surgical patients from January 2024 to June 2024 G.C. The completeness of these records was evaluated according to specific criteria encompassing preoperative, intraoperative, and postoperative documentation. Results The assessment identified shortcomings in the comprehensiveness of electronic anaesthesia record forms, particularly in documenting preoperative evaluations, intraoperative occurrences, and postoperative incidents. Notable areas of insufficiency included recording medication administration, monitoring vital signs, and documenting anaesthesia-related complications Conclusion The overall incidence of perioperative electronic anaesthesia documentation at Hakim Gizaw Hospital is 71.47% whereas the rate of not documented and not applicable documentation is approximately 21.2% and 7.33% respectively. Improving the completeness of electronic anaesthesia records is vital for enhancing patient safety and perioperative care quality. Anaesthesia Electronic Record Sheet Completeness Perioperative Cross sectional Full Text Additional Declarations Competing interest reported. We love you BMC journal Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4816129","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":343672750,"identity":"52cfe537-a3c8-4020-b6cf-d50ab9e9f29d","order_by":0,"name":"Desta Waktasu","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA7ElEQVRIiWNgGAWjYDACdsYGCRDNz96Q+ABI8/AR1MIM1mLAINlz4LEBSAsbYS0MDGAtBjcSn4GtI6iFn5m58caHP3/kJWckp1V+zbGTYWNgfvjoBh4tks2MzZYz2wwM+3mepd2W3ZYMdBibsXEOHi0GhxnbpHkbDBhntuek3ZbcxgzUwsMmTVDLnz8G9hsO5H8rltxWT6QWBjaDxA0nEtIYP247TFgL2C+9bcbJM3sOJEszbjvOw8ZMwC/87O0Pb/z4I2fbD4zKjz+3Vdvzszc/fIxPCwpg5gGTxCoHAcYfpKgeBaNgFIyCEQMAF01HligscRYAAAAASUVORK5CYII=","orcid":"","institution":"Debre Berhan University","correspondingAuthor":true,"prefix":"","firstName":"Desta","middleName":"","lastName":"Waktasu","suffix":""},{"id":343672751,"identity":"70e1702e-0a4e-414e-a03f-ab2c1e215d85","order_by":1,"name":"Meaza Teshome","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Meaza","middleName":"","lastName":"Teshome","suffix":""},{"id":343672752,"identity":"473d6acd-2734-4cb7-9e1f-2c673531dce1","order_by":2,"name":"Molla Amsalu","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Molla","middleName":"","lastName":"Amsalu","suffix":""},{"id":343672753,"identity":"32a83476-7def-4659-ae70-e2c9ff06ad2d","order_by":3,"name":"Meskerem Dagne","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Meskerem","middleName":"","lastName":"Dagne","suffix":""},{"id":343672754,"identity":"3b515b08-6763-4dcf-914c-7ab897136685","order_by":4,"name":"Fetene Seyoum","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Fetene","middleName":"","lastName":"Seyoum","suffix":""},{"id":343672755,"identity":"eb036ace-f57a-44c5-927e-d1e340ba5d91","order_by":5,"name":"Mistre Nigussie","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Mistre","middleName":"","lastName":"Nigussie","suffix":""},{"id":343672756,"identity":"02ed5314-9634-4452-a367-f3121135fa8c","order_by":6,"name":"Rebka Ketema","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Rebka","middleName":"","lastName":"Ketema","suffix":""},{"id":343672757,"identity":"a4f0447a-617a-4423-aef1-ee1cc9e977d2","order_by":7,"name":"Wedajo Tsegaye","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Wedajo","middleName":"","lastName":"Tsegaye","suffix":""},{"id":343672758,"identity":"91aeebdb-d917-4af4-9168-d57f7a1559d1","order_by":8,"name":"Yonas Urge","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Yonas","middleName":"","lastName":"Urge","suffix":""},{"id":343672759,"identity":"94b334ce-fbbc-4b62-a656-c741de530f9d","order_by":9,"name":"Baye Maru","email":"","orcid":"","institution":"Debre Berhan University","correspondingAuthor":false,"prefix":"","firstName":"Baye","middleName":"","lastName":"Maru","suffix":""},{"id":343672760,"identity":"870d36b3-b784-4ba4-87dd-3683c490b2d7","order_by":10,"name":"Lidya Haddis","email":"","orcid":"","institution":"Addis Ababa University","correspondingAuthor":false,"prefix":"","firstName":"Lidya","middleName":"","lastName":"Haddis","suffix":""}],"badges":[],"createdAt":"2024-07-28 09:54:06","currentVersionCode":1,"declarations":{"humanSubjects":false,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":false,"humanSubjectConsent":false,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-4816129/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4816129/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":74423123,"identity":"24e64cf9-4ba7-40b3-a696-22eb8e5a972c","added_by":"auto","created_at":"2025-01-22 07:39:15","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":371991,"visible":true,"origin":"","legend":"","description":"","filename":"BMCELECTRONICRECORD1.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4816129/v1_covered_db2aadc2-0531-468c-b6c3-de487c69b7fa.pdf"}],"financialInterests":"Competing interest reported. We love you BMC journal","formattedTitle":"\u003cp\u003eAssessment of the Completeness of Perioperative Electronic Anesthesia Record Sheet of Surgical Patients at Hakim Gizaw Hospital, A Descriptive Retrospective Cross Sectional Study,2024\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Anaesthesia, Electronic Record Sheet, Completeness, Perioperative, Cross sectional","lastPublishedDoi":"10.21203/rs.3.rs-4816129/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4816129/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eAccurate and detailed documentation of anaesthesia records is crucial for maintaining patient safety and delivering high-quality perioperative care. Well organized documentation either electronic or manual is mandatory for providing good care or performing research. This research aimed to evaluate the adequacy of electronic anaesthesia record sheets for surgical patients at Hakim Gizaw Hospital.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eA retrospective cross-sectional method was used to examine the electronic anaesthesia records of 179 surgical patients from January 2024 to June 2024 G.C. The completeness of these records was evaluated according to specific criteria encompassing preoperative, intraoperative, and postoperative documentation.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe assessment identified shortcomings in the comprehensiveness of electronic anaesthesia record forms, particularly in documenting preoperative evaluations, intraoperative occurrences, and postoperative incidents. Notable areas of insufficiency included recording medication administration, monitoring vital signs, and documenting anaesthesia-related complications\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003e \u003cem\u003eThe overall incidence of perioperative electronic anaesthesia documentation at Hakim Gizaw Hospital is 71.47% whereas the rate of not documented and not applicable documentation is approximately 21.2% and 7.33% respectively. Improving the completeness of electronic anaesthesia records is vital for enhancing patient safety and perioperative care quality.\u003c/em\u003e \u003c/p\u003e","manuscriptTitle":"Assessment of the Completeness of Perioperative Electronic Anesthesia Record Sheet of Surgical Patients at Hakim Gizaw Hospital, A Descriptive Retrospective Cross Sectional Study,2024","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-09-03 05:27:10","doi":"10.21203/rs.3.rs-4816129/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"c54465f5-a333-410c-98bc-815c3e404c05","owner":[],"postedDate":"September 3rd, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-01-22T07:39:02+00:00","versionOfRecord":[],"versionCreatedAt":"2024-09-03 05:27:10","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4816129","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4816129","identity":"rs-4816129","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}