Appl Clin Inform 2019; 10(04): 563-569
DOI: 10.1055/s-0039-1693712
Special Topic: Visual Analytics in Healthcare
Georg Thieme Verlag KG Stuttgart · New York

A Visual Analytics Dashboard to Summarize Serial Anesthesia Records in Pediatric Radiation Treatment

Olivia Nelson
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Brian Sturgis
2  Enterprise Reporting & Analytics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Keri Gilbert
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Elizabeth Henry
3  Pediatric Proton Therapy Center, Perelman Center for Advanced Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Kelly Clegg
3  Pediatric Proton Therapy Center, Perelman Center for Advanced Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Jonathan M. Tan
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
4  Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Jack O. Wasey
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Allan F. Simpao
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
4  Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Jorge A. Gálvez
1  Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
4  Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States
› Author Affiliations
Further Information

Publication History

15 April 2019

17 June 2019

Publication Date:
07 August 2019 (online)

Abstract

Background Young children who undergo radiation therapy may require general anesthesia to remain still during weeks of radiation sessions. On a typical day at our hospital, an anesthesia team will care for 10 patients in the radiation therapy suite, and each patient will have multiple prior anesthetic records. Daily review of prior anesthesia records is important to maintain anesthetic consistency and to identify potential improvement, yet our electronic health record (EHR) made such review time-consuming and cumbersome.

Objectives This article aims to design a visual analytics interface that simultaneously displays data from multiple anesthesia encounters to support clinical consistency in medications and airway management.

Methods Documentation from the EHR is available in the clinical data warehouse following daily backups. A visual analytics interface was built to aggregate important components of multiple anesthesia encounters in pediatric radiation oncology on a single screen. The application was embedded in the EHR's anesthesia module and updated daily.

Results Each anesthesia encounter was represented by a vertical line with the date at the bottom of the screen. Each vertical line was divided into sections corresponding to the medications, type of airway device, type of radiation oncology procedure, days between treatments, and recovery score and time. Information about the medications, airways, and procedures was shown with icon legends. This layout enabled users to quickly see the key components of multiple anesthetics and make inferences between, for example, the medications used and the recovery score.

Conclusion The dashboard provides a high-level summary of all radiation therapy anesthesia records for children receiving recurrent treatments. In this clinical scenario, it is desirable to replicate an optimal anesthetic approach for daily or near-daily treatments or adjust the anesthetic based on observed patterns.

Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects. The study was reviewed by the Institutional Review Board of the Children's Hospital of Philadelphia and determined not to be human subjects research.