Challenges and Process
In order to understand the potential of TBAR, its users, where it will be used, and how users will interact with it, the SNO design team visited hospitals, met with practicing anesthesiologists, talked with regulatory experts, and consulted with a panel of the best providers in the field of anesthesiology. Their research included spending time in the operating room observing how providers take care of patients while simultaneously documenting cases. The time spent in the operating room lead to the development of several functional prototypes which directly informed the design for vitals data entry in TBAR. Usability testing for TBAR took place in the operating room where real providers used this app to document their cases allowing the team to get feedback, iterate on design, and validate design decisions.
The SNO solution fulfilled the following objectives: Ingest hospital case schedules through an automated HL7 hospital feed, CtSV files, MS Excel spread sheet or manual input using forms Capture pre-operative patient evaluation View complete patient encounter history, patient status, risk alerts and allergy information Innovatively capture intra-operative patient data-like Vital signs, medications, fluids and labs Record case handoffs and transfer to other providers Solution Support Surgical Safety Checklist and case-dependant Milestones Information validation, QCDR and compliance Postoperative documentation and transfer of care Analytics and Reporting