EIAS

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EIAS

  1. 1. EIAS ERAS Interactive Audit System Provided by Encare in collaboration with Uppsala Clinical Research Centre
  2. 2. Concept <ul><ul><li>Audit of surgical care </li></ul></ul><ul><ul><li>ERAS® care program implementation tool </li></ul></ul><ul><ul><li>ERAS® care program compliance check </li></ul></ul><ul><ul><li>Flexible platform- reserach variables </li></ul></ul><ul><ul><li>Strong motor for analysis and reports </li></ul></ul>
  3. 3. User friendly and safe <ul><ul><li>Web based interface </li></ul></ul><ul><ul><li>No local data assembly </li></ul></ul><ul><ul><li>Encrypted data transfer (https://) </li></ul></ul><ul><ul><li>Use of patient IDs optional </li></ul></ul><ul><ul><li>Administrated by coordinators (country, center) </li></ul></ul><ul><ul><li>Local / research variables </li></ul></ul><ul><ul><li>UCR: Technical support </li></ul></ul><ul><ul><li>ERAS: Content support </li></ul></ul>
  4. 5. Uppsala Clinical Research Center <ul><ul><li>National competence center for quality registers </li></ul></ul><ul><ul><li>Dpt of Uppsala University </li></ul></ul><ul><ul><li>Regional health authorities </li></ul></ul><ul><ul><li>High standard technical solutions </li></ul></ul><ul><ul><li>Statistical expertise and epidemiology </li></ul></ul><ul><ul><li>Research and development </li></ul></ul><ul><ul><li>Employed by communities, hospitals, professional organisations, companies. </li></ul></ul>
  5. 6. www.eras.pro
  6. 7. Use of strong passwords Smart card access option
  7. 8. Basic functions
  8. 9. <ul><li>Dashboard </li></ul><ul><li>New records </li></ul><ul><li>To-do list </li></ul><ul><li>Add data </li></ul>
  9. 10. <ul><li>Help texts </li></ul><ul><li>Dynamic </li></ul><ul><li>Explain </li></ul><ul><li>Define </li></ul><ul><li>Help texts </li></ul><ul><li>Dynamic </li></ul><ul><li>Define </li></ul><ul><li>Explain </li></ul>
  10. 11. <ul><li>Menue bar </li></ul><ul><li>Administer </li></ul><ul><li>Reports </li></ul><ul><li>Search </li></ul><ul><li>Form print </li></ul>
  11. 12. <ul><li>Administer </li></ul><ul><li>My profile </li></ul><ul><li>Users </li></ul><ul><li>Centres </li></ul><ul><li>Surgeons </li></ul><ul><li>Countries </li></ul>
  12. 13. Data entry
  13. 14. <ul><li>Six forms </li></ul><ul><li>Registration </li></ul><ul><li>Operation </li></ul><ul><li>POSSUM </li></ul><ul><li>Recovery </li></ul><ul><li>Discharge </li></ul><ul><li>Follow up </li></ul>
  14. 15. <ul><li>Fold down menus </li></ul><ul><li>Dynamic help text </li></ul>
  15. 16. <ul><li>Non- ID possible </li></ul><ul><li>Unique ERAS number </li></ul>
  16. 17. <ul><li>Information unavailable </li></ul><ul><li>For stats reason </li></ul>
  17. 18. ERAS Golden Keys
  18. 19. Calenders
  19. 20. Evaluation of numerics
  20. 21. <ul><li>Caracterisation of </li></ul><ul><li>Preoperative protocol </li></ul><ul><li>Surgery </li></ul><ul><li>Anaesthesia </li></ul>
  21. 22. When? Who? What? How? Main type? EDA? Fluids?
  22. 23. Hints for protocol compliance
  23. 24. <ul><li>For comparisons between units </li></ul><ul><li>16 variables </li></ul><ul><li>History and signs </li></ul><ul><li>Lab values </li></ul><ul><li>By choice at each unit </li></ul><ul><li>Not calculated if missing values >2 </li></ul>
  24. 25. <ul><li>Notes </li></ul><ul><li>Internal communication </li></ul>
  25. 26. <ul><li>Fluid balance </li></ul><ul><li>GI function </li></ul><ul><li>Mobilisation </li></ul><ul><li>Pain and nausea </li></ul>
  26. 27. <ul><li>Extended module </li></ul><ul><li>Fluid balance </li></ul><ul><li>Mobilisation </li></ul><ul><li>Pain and nausea </li></ul>
  27. 28. No adverse events
  28. 29. <ul><li>Adverse events </li></ul><ul><li>Death </li></ul><ul><li>Reoperations </li></ul><ul><li>Complications </li></ul><ul><ul><li>Strict definitions </li></ul></ul><ul><ul><li>Drill down </li></ul></ul>
  29. 30. <ul><li>Final diagnosis (pathology exam) </li></ul><ul><li>Mortality / readmissions / reop </li></ul><ul><li>Adverse events post discharge </li></ul>
  30. 31. <ul><li>Adverse events </li></ul><ul><li>- Post discharge </li></ul><ul><li>Mortality </li></ul><ul><li>Readmissions </li></ul><ul><li>Reoperations </li></ul><ul><li>Complications </li></ul>
  31. 32. Data output
  32. 33. Examples <ul><li>Demographics </li></ul><ul><li>Current practice </li></ul><ul><li>ERAS protocol compliance </li></ul><ul><li>30 day outcomes </li></ul><ul><li>By procedure /surgeon / anesthesia </li></ul><ul><li>Comparisons / bench marling </li></ul>
  33. 34. Surgical procedures 2008 Output example My unit Similar units Country Right hemicolectomy 23 24 25 Left hemicolectomy 28 35 26 Total colectomy 8 2 5 Low anterior resection 14 23 12 High anterior resection 21 12 18
  34. 35. ERAS Compliance data Output example
  35. 36. Median Length of stay Output example
  36. 37. Output data - compliance
  37. 40. Select only Colon Procedures
  38. 43. Present and near future <ul><li>Prepared to be multilingual </li></ul><ul><li>Ready for colorectal surgery </li></ul><ul><li>Soon available for </li></ul><ul><ul><li>Upper GI </li></ul></ul><ul><ul><li>Liver </li></ul></ul><ul><ul><li>Pancreatic </li></ul></ul><ul><li>Develop into </li></ul><ul><ul><li>O rthopedic </li></ul></ul><ul><ul><li>G ynocology </li></ul></ul><ul><ul><li>Urology </li></ul></ul><ul><ul><li>Cardio thoracic surgery </li></ul></ul>
  39. 44. UCR tech support 9-17 User accounts, passwords, definitions Servers, system Knowledge base, FAQ, courses, reports, statistics ERAS secretariat Database eras.pro

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