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Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone.
Sung, Sophia; Hørthe, Hilde; Svendsen, Øyvind Veel; van Duinen, Alex J; Salvesen, Øyvind; Vandi, Alphonsus; Bolkan, Håkon A.
  • Sung S; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), P.O. Box 8905 MTFS, 7491, Trondheim, Norway. sophiasung97@gmail.com.
  • Hørthe H; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), P.O. Box 8905 MTFS, 7491, Trondheim, Norway.
  • Svendsen ØV; CapaCare, c/o Dr Håkon Bolkan, Clinic of Surgery, St. Olavs Hospital, P.O. Box 3250 Sluppen, 7006, Trondheim, Norway.
  • van Duinen AJ; Clinic of Internal Medicine and Rehabilitation, Levanger Hospital, P.O. Box 333, 7601, Levanger, Norway.
  • Salvesen Ø; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), P.O. Box 8905 MTFS, 7491, Trondheim, Norway.
  • Vandi A; CapaCare, c/o Dr Håkon Bolkan, Clinic of Surgery, St. Olavs Hospital, P.O. Box 3250 Sluppen, 7006, Trondheim, Norway.
  • Bolkan HA; Clinic of Surgery, St. Olavs Hospital, P.O. Box 3250 Sluppen, 7006, Trondheim, Norway.
BMC Med Educ ; 21(1): 578, 2021 Nov 15.
Article in English | MEDLINE | ID: covidwho-1526629
ABSTRACT

BACKGROUND:

Surgical logbooks are a commonly used tool for quality assurance of surgical training. Electronic logbooks are increasingly applied in low-resource settings, but there is limited research on their quality. The aim of this study is to evaluate the quality of an app-based surgical e-logbook system shortly after its implementation in a low-income country and to identify potential areas of improvement for the system.

METHODS:

Entries in the e-logbook system were cross-checked with hospital records and categorized as matched or overreported. Moreover, the hospital records were checked for underreported procedures. Additionally, semi-structured interviews were conducted with users of the e-logbook system.

RESULTS:

A total of 278 e-logbook database entries and 379 procedures in the hospital records from 14 users were analyzed. Matches were found in the hospital records for 67.3% of the database entries. Moreover, 32.7% of the database entries were overreported and 50.7% of the procedures in the hospital records were underreported. A previous study of an analog surgical logbook system in the same setting estimated that 73.1% of the entries were matches or close matches. Interviews with 12 e-logbook users found overall satisfaction but also identified potential areas of improvement, including the need for more training in the use of the system, modifications to improve user-friendliness, and better access to the necessary technology.

CONCLUSIONS:

A reliable documentation system is necessary to evaluate the quality of health workforce training. The early evaluation of a surgical e-logbook system in a low-income country showed that the collected data should be approached with caution. The quantitative analysis suggests that the e-logbook system needs to be improved in terms of accuracy. In interviews, users reported that digitalization of the logbook system was a much-needed innovation but also identified important areas of improvement. Recognition of these aspects at an early stage facilitates guidance and adjustment of further implementation and might improve the accuracy of the system.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Documentation / Hospitals Subject: Documentation / Hospitals Type of study: Qualitative research Language: English Journal: BMC Med Educ Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Documentation / Hospitals Subject: Documentation / Hospitals Type of study: Qualitative research Language: English Journal: BMC Med Educ Year: 2021
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