Eric C Cheon, Samantha Shaffer, Kailey McCarthy, Olga Leavitt, Shivali Mukerji, Courtney Hardy
{"title":"Continuing Anesthesia Services in the Face of a Prolonged Digital Health System Outage.","authors":"Eric C Cheon, Samantha Shaffer, Kailey McCarthy, Olga Leavitt, Shivali Mukerji, Courtney Hardy","doi":"10.1097/ALN.0000000000005508","DOIUrl":null,"url":null,"abstract":"<p><p>In today's digitized healthcare environment, electronic health records (EHRs) and other electronic systems are key to daily hospital operations, patient care, and compliance. The authors' institution underwent a prolonged EHR system outage that caused the Department of Pediatric Anesthesiology to rely on established downtime procedures. While the intraoperative EHR is lost, this is only one of many domains that can be affected by an outage. In fact, all aspects of care, from patient identification materials to operating room schedules to in-house communication, can be significantly affected. Anesthesia providers must be ready to revert to preestablished downtime protocols to continue safe care while also maintaining financial sustainability. The following narrative review details the department's operational responses and outlines how safe and quality health care continued to be delivered, providing recommendations for other hospitals that may face similar challenges.</p>","PeriodicalId":7970,"journal":{"name":"Anesthesiology","volume":" ","pages":"266-274"},"PeriodicalIF":9.1000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ALN.0000000000005508","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/10 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
In today's digitized healthcare environment, electronic health records (EHRs) and other electronic systems are key to daily hospital operations, patient care, and compliance. The authors' institution underwent a prolonged EHR system outage that caused the Department of Pediatric Anesthesiology to rely on established downtime procedures. While the intraoperative EHR is lost, this is only one of many domains that can be affected by an outage. In fact, all aspects of care, from patient identification materials to operating room schedules to in-house communication, can be significantly affected. Anesthesia providers must be ready to revert to preestablished downtime protocols to continue safe care while also maintaining financial sustainability. The following narrative review details the department's operational responses and outlines how safe and quality health care continued to be delivered, providing recommendations for other hospitals that may face similar challenges.
期刊介绍:
With its establishment in 1940, Anesthesiology has emerged as a prominent leader in the field of anesthesiology, encompassing perioperative, critical care, and pain medicine. As the esteemed journal of the American Society of Anesthesiologists, Anesthesiology operates independently with full editorial freedom. Its distinguished Editorial Board, comprising renowned professionals from across the globe, drives the advancement of the specialty by presenting innovative research through immediate open access to select articles and granting free access to all published articles after a six-month period. Furthermore, Anesthesiology actively promotes groundbreaking studies through an influential press release program. The journal's unwavering commitment lies in the dissemination of exemplary work that enhances clinical practice and revolutionizes the practice of medicine within our discipline.