HIS and Surgical Area

In THCG we contribute significantly and decisively in defining the surgical circuits, design, develop and generalize the implementation of applications, technologies and HIS, including the creation of new work models based on an Advanced Surgical Station that promotes the reduction of surgical costs and reach an more efficient management of the surgical area where decision -making will be based on evidence from the data, including:

  • Improve the management of operating theatre (operating rooms) and avoid under-utilization thereof.
  • Help reduce the Surgical Waiting Lists (SWL)
  • Optimize the utilization of operating theatre across increasing the occupancy rates and avoiding the loss of useful hours.
  • Reduce the percentage of suspended the scheduled surgeries.
  • Reduce the percentage of suspended the scheduled surgeries not replaced.
  • Reduce the percentage of canceled the scheduled surgeries.
  • Reduce the percentage of canceled the scheduled surgeries not replaced.
  • Reduce the percentage of surgeries rescheduled.
  • Plan the logistical preparation of operating theater material and human needs.
  • Provide indicators continuously updated results.
  • Facilitate one modern surgical management where decision- dictions are based on data evidence.

In short, in THCG we provide to health institutions an ADVANCED SURGICAL STATION that promotes evidence-based management of data, increasing the efficiency of operating rooms and improving the effectiveness of surgical interventions including:

1. Surgery Waiting List (SWL): access list, target patients, data management …etc.

2. Results of Preoperative: access to anaesthesia (suitable or unsuitable for surgery) and results of the additional tests (EKG, Biochemistry, X-ray …etc.)

3. Scheduling Surgical Activity including recording data: patient identification, planned intervention, type of intervention, surgical program, surgery, diagnosis, surgical procedure, ASA grade, transfusion requirements, need for resuscitation date …etc.

4. Part of Scheduling Surgical: provide the information constantly updated about the planned surgical procedures available to all interested (management team, surgeons, anaesthesiologists, operating room nurses, administrative, staff carrying sick, team SWL for seeking substitutes…) including:

A list of all scheduled surgical activity within selected time period (48 hours, days, weeks and / or months) Each planned intervention will be known in detail: the name and clinical history of patient (shortcut the Patient health Record: medical reports, analytical, radiological tests, pathology, microbiology) date and time of the scheduled surgery, date and time of entry into surgical waiting list (waiting time to intervention), center of intervention, bed number and floor of hospitalization, nº the operating theatre, surgical service, responsible surgical team (surgeons, anaesthetists, …), primary diagnosis, surgical procedure indicated, need for surgical prosthesis, need for radiology, medical alerts (allergies, RH group, need for transfusions, ..) postsurgical destination, whether or not need of the area of resuscitation

Meet in real-time, any suspension or revocation that occurs in an elective surgery, including:

Summary of the suspended or cancelled surgery.
Name and category of the doctor responsible for the suspension or revocation.
Reasons that have led to the suspension or revocation the scheduled surgeries.
Information about whether the physician has substituted the suspended or cancelled surgery and, therefore, if will fill the gap created by the suspension or cancellation produced. If no operating room occupancy occurs, an alert is generated SMS texts to the human team responsible for managing the SWL to fill this operating theatre and to take the appropriate decisions.
Information about whether the physician has rescheduled the suspended or cancelled surgery and, therefore, if the patient is to be operated at a future date planned. If no reprogramming occurs, an alert is generated SMS texts to the human team responsible for managing the SWL to take the appropriate decisions.

Know, in real-time, traceability and the particular situation of each patient: when his waiting to immediately intervention (pre-surgical area > being operated (surgical site) > recovery (resuscitation area) > target pos-surgical: plant and number of inpatient beds, number of bed Intensive Care Unit (ICU) or if the patient is discharged from outpatient surgery.

Have all necessary access to facilitate electronic collection of surgical data including;

Access for editing the medical report of surgical intervention.
Access to request complementary tests.
Access for editing the Check List in surgical patient safety, recommended by WHO.
Access for editing the detailed records of intervention and responsible professional category, date and time of onset of anaesthesia, date and time of incision … etc.

In short, among the many advantages provided by this station and, considering the high cost of operating rooms, such information enables more effective planning of both the operating theatres as well as of human and material resources involved: allows  knowing in real-time the number of patients requiring blood transfusion, the surgery requiring radiology, …etc. It also helps reduce the rate of suspensions and cancellations of scheduled surgeries and also facilitate the reoccupation of the hollows generated by unforeseen suspensions favouring cost savings with all the economic benefits that this entails and the consequent increase in efficiency in the activity surgical schedule.

5. HIS to Surgical and History Activity Interventions: By which is available to all stakeholders (doctors, nurses, management team, patients… etc)  accurate and updated information about the historical interventions including date and time of the intervention, the surgical service, center of interventions, types of surgery (scheduled or emergency) and results of operations (carried, suspended, cancelled, … etc..) likewise provides information about surgical and medical equipment (primary surgeon, assistant surgeon responsible anaesthesiologist, circulating nurse, nurse instrumentalist) including:

Number and percentage of urgent or planned interventions.
Number and percentage of suspended operations.
Number and percentage of suspended and substituted by other interventions.
Number and percentage of suspended interventions and not replaced.
Number and percentage of cancelled interventions.
Number and percentage of cancelled interventions and yes rescheduled.
Number and percentage of cancelled and not rescheduled interventions.
Number and percentage of cancelled interventions and substituted by other interventions.
Number and percentage of cancelled interventions and not replaced.
Surgical materials consumption and monitoring of the same.
Other indicators, both global and individual, related surgical activity and that are of interest to encourage decision-making in the surgical management is based on evidence.

In short, from the many advantages provided by this station, we found the information provided regarding the history of interventions, which enables making decisions based on evidence and a more efficient and effective management both the operating theatres as well as of human and material resources involved. Likewise, provides to doctors and nurses, information of maximum importance clinical.

6. Regular and redesigning the patient flow access in surgical circuits including elective surgery, emergency surgery and ambulatory surgery:

The configuration and management of Surgical Waiting Lists (SWL)
Citation and management for patients including preoperative tests (X-ray, Biochemistry, EKG…)
The management of the preoperative evaluation including the electronic communication of the reporting preoperative anaesthesia and the respective informed consent.
List of the surgical patients fit for the surgery.
Facilitate at the SWL management teams to look for substitutes in case of suspensions or cancellations when occurred.
The comprehensive control of suspended surgeries and whether they are or are not replaced.
The comprehensive control of cancelled surgeries and whether they are or are not replaced or reprogrammed.

7. HIS and circuits of information to the patient care and his family.

8. HIS and circuits of information to ensure unambiguous identification of the surgical patient.

9. Other HIS and circuits of information related to the surgical area and operating rooms.