Plan for Extracting Intraoperative Anesthesia Data to the ACS NSQIP Database

将术中麻醉数据提取到 ACS NSQIP 数据库的计划

• 批准号: 7468382
• 负责人: CLIFFORD KO
• 金额: $ 13.11万
• 依托单位: AMERICAN COLLEGE OF SURGEONS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-15 至 2010-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7468382
• 关键词: Academic Medical Centers; Address; Adverse event; American; American College of Surgeons; Anesthesia procedures; Anesthesiology; Anesthetics; Architecture; Automation; Benchmarking; Caring; Clinical; Collection; Communication; Community Hospitals; Computer software; Consensus; Controlled Vocabulary; Data; Databases; Environment; Event; Foundations; Goals; Hand; Health; Healthcare; Heart; Hospitals; Information Management; Information Systems; Institute of Medicine (U.S.); Institution; Internet; Management Information Systems; Maps; Medical Device; Methodology; Modeling; Modification; Movement; Operative Surgical Procedures; Organizational Models; Outcome; Outcomes Research; Patients; Pharmaceutical Preparations; Phase; Physiological; Postoperative Period; Protocols documentation; Recommendation; Reporting; Research; Research Infrastructure; Research Personnel; Resources; Risk Factors; Standardization; Standards of Weights and Measures; Structure; System; Systematized Nomenclature of Medicine; Terminology; Testing; Writing; abstracting; base; college; data modeling; design; dissemination research; evidence based guidelines; follow-up; hemodynamics; improved; innovation; member; next generation; patient safety; performance site; prevent; programs; prototype; repository; tool

DESCRIPTION (provided by applicant): In this project, members from the American College of Surgery (ACS) and the Anesthesia Patient Safety Foundation (APSF) are collaborating to expand the ACS National Surgery Quality Improvement Program (NSQIP) data repository to include anesthesia-related intra-operative data. The ACS NSQIP program is already capturing information on preoperative patient risk factors, surgical factors, and adverse events following surgery. However, the effects of anesthetic management on postoperative outcomes remain unclear because the ACS NSQIP database contains no information on anesthetic management or physiologic variables during surgery. This project will assess the technical feasibility of structuring intraoperative anesthesia and physiologic data and mapping these data into the ACS NSQIP database. The goal to extend the ACS NSQIP system infrastructure to incorporate direct data capture of intraoperative variables from AIMS systems speaks to the heart of the IAIMS Next Generation Agenda; namely creating tools and resources to build national research repositories to support discovery, innovation and dissemination of research results that leads to improvement in health outcomes. The main reason that anesthesia information is missing from the ACS NSQIP database is that the lack of standards in both terminology and record structure prevents the transfer of intra-operative anesthesia data from AIMS into outcomes databases. The creation of a standard terminology and record structure is an essential requirement to support the movement of intra-operative data from AIMS into outcomes databases. The proposed project has 3 phases: 1) To design a structured model of the anesthesia record using a controlled vocabulary which will be developed after examining the anesthesia-related data at nine performance sites; 2) To implement a prototype based on structured model that will test the feasibility of importing data from AIMS to enhance the ACS NSQIP data repository; 3) To prepare an AIMS implementation plan for the introduction of the expanded ACS NSQIP platform in the follow-up phase. This proposal will address the conceptual challenge of creating a model, the technical challenge of constructing a prototype based on the model, and the organizational challenge of building consensus among the members of the ACS NSQIP.

描述（由申请人提供）： 在该项目中，来自美国外科学会 (ACS) 和麻醉患者安全基金会 (APSF) 的成员正在合作扩展 ACS 国家手术质量改进计划 (NSQIP) 数据存储库，以包含与麻醉相关的术中数据。 ACS NSQIP 计划已经在收集有关术前患者危险因素、手术因素和术后不良事件的信息。然而，麻醉管理对术后结果的影响仍不清楚，因为 ACS NSQIP 数据库不包含手术期间麻醉管理或生理变量的信息。该项目将评估构建术中麻醉和生理数据并将这些数据映射到 ACS NSQIP 数据库的技术可行性。 扩展 ACS NSQIP 系统基础设施以纳入来自 AIMS 系统的术中变量直接数据采集的目标符合 IAIMS 下一代议程的核心；即创建工具和资源来建立国家研究存储库，以支持研究成果的发现、创新和传播，从而改善健康结果。 ACS NSQIP 数据库中缺少麻醉信息的主要原因是术语和记录结构缺乏标准，阻碍了术中麻醉数据从 AIMS 传输到结果数据库。创建标准术语和记录结构是支持术中数据从 AIMS 转移到结果数据库的基本要求。 拟议的项目分为 3 个阶段：1）使用 受控词汇将在九点检查麻醉相关数据后开发 表演场地； 2) 实现基于结构化模型的原型，测试从 AIMS 导入数据以增强 ACS NSQIP 数据存储库的可行性； 3）准备AIMS 后续阶段引入扩展的 ACS NSQIP 平台的实施计划。该提案将解决创建模型的概念挑战、基于模型构建原型的技术挑战以及在 ACS NSQIP 成员之间建立共识的组织挑战。