Purpose
1.2. Aggregate data on intraoperative/postoperative complications (e.g., awareness, aspiration, cardiac events) for benchmarking, audits, and regulatory reporting.
1.3. Enable automated notification to stakeholders and facilitate timely corrective action through scheduled, rule-based, or threshold-crossing event reports.
Trigger Conditions
2.2. Data update detected in clinical documentation platforms.
2.3. Scheduled intervals (daily/weekly/monthly reporting).
2.4. Thresholds exceeded for complication rates (set percentage or numeric value).
2.5. Manual review triggers (finalized by quality assurance personnel).
Platform Variants
3.1. Epic Systems
• Feature/Setting: Use “FHIR API — Observation” endpoint to extract complication data; schedule nightly data pulls.
3.2. Cerner Millennium
• Feature/Setting: “PowerChart Data Extract” via SMART on FHIR apps for complication event records, with webhook notification configuration.
3.3. Meditech
• Feature/Setting: “Exernal Data API” configuration to stream anesthesia event logs into middleware for analytics triggers.
3.4. Allscripts
• Feature/Setting: Utilize “Open API — Clinical Data” for real-time event subscription, linking with automated reporting system.
3.5. Athenahealth
• Feature/Setting: “Clinical Event Subscriptions” API, subscribe to ‘Complication Event’ and forward to reporting engine.
3.6. Google BigQuery
• Feature/Setting: “Scheduled Queries” auto-run analytics on imported data; output daily complication summaries via partitioned tables.
3.7. Microsoft Power BI
• Feature/Setting: Set up “Scheduled Data Refresh” from hospital database; auto-generate and email complication report dashboards.
3.8. Tableau
• Feature/Setting: “Tableau Prep Conductor” scheduled flow monitors new complication entries; triggers publishing & stakeholder notification.
3.9. Salesforce Health Cloud
• Feature/Setting: “Health Cloud Data Lake API” configured to import complication records and launch workflow rules for review.
3.10. SAP Health Engagement
• Feature/Setting: Use “Data Integration Services” to receive and process HL7/FHIR feeds, and configure alert rules for adverse event spikes.
3.11. Twilio SMS
• Feature/Setting: “API SendMessage” auto-sends SMS alerts on threshold breaches or severe complication events.
3.12. SendGrid
• Feature/Setting: Configure “Automated Email Campaigns”; link to analytics platform for scheduled summary delivery.
3.13. Slack
• Feature/Setting: “Incoming Webhooks” channel for instant posting of critical complication analytics.
3.14. Microsoft Teams
• Feature/Setting: “Webhook Connector” for auto-publishing analytics summaries to specific teams or compliance groups.
3.15. Google Sheets
• Feature/Setting: “Sheets API — Append” to update logs and “Time-driven Trigger” for end-of-day summary push to QA.
3.16. AWS Lambda
• Feature/Setting: “Scheduled Function” to poll EMR APIs and forward anomaly summaries to stakeholders.
3.17. Azure Logic Apps
• Feature/Setting: “Recurrence Trigger” pulling HL7/FHIR data and invoking report workflows.
3.18. Zapier
• Feature/Setting: “Schedule Workflow” to automatically move fresh complication data from EMR to email, cloud, or compliance tools.
3.19. Jira Service Management
• Feature/Setting: “REST API — Create Issue” to log quality incidents or initiate RCA workflow when complications occur.
3.20. IBM Watson Health
• Feature/Setting: “Data Integration” set to receive EHR streams and run AI-based risk/incident analytic models.
Benefits
4.2. Increases accuracy and timeliness of data-driven insights for patient safety.
4.3. Automates compliance for regulatory reporting and accreditation requirements.
4.4. Supports real-time alerting and faster remediation of trends and adverse events.
4.5. Enhances quality improvement initiatives using granular and timely analytics.