{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:05:36Z","timestamp":1755795936457,"version":"3.33.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["NHLBI K23HL148640"],"award-info":[{"award-number":["NHLBI K23HL148640"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Transition to the postanesthesia care unit (PACU) requires timely order placement by anesthesia providers. Computerized ordering enables automated order reminder systems, but their value is not fully understood. We performed a single-center, retrospective cohort study to estimate the association between automated PACU order reminders and primary outcomes (1) on-time order placement and (2)\u00a0the degree of delay in placement. As a secondary post-hoc analysis, we studied the association between late order placement and PACU outcomes. We included patients with a qualifying postprocedure order from January 1, 2019, to May 31, 2023. We excluded cases transferred directly to the ICU, whose anesthesia provider was involved in the pilot testing of the reminder system, or those with missing covariate data. Order\u00a0reminder system usage\u00a0was defined by the primary attending anesthesiologist\u2019s receipt of a\u00a0push notification reminder on the day of surgery. We estimated the association between reminder system usage and timely order placement using a logistic regression. For patients with late orders, we performed a survival analysis of order placement. The significance level was 0.05. Patient (e.g., age, race), procedural (e.g., anesthesia duration), and provider-based (e.g., ordering privileges) variables were used as covariates within the analyses.\u00a0Reminders were associated with 51% increased odds of order placement prior to PACU admission (Odds Ratio: 1.51; 95% Confidence Interval: 1.43, 1.58; p\u2009\u2264\u20090.001), reducing the incidence of late PACU orders from 17.5% to 12.6% (p\u2009\u2264\u20090.001). In patients with late orders, the reminders were associated with 10% quicker placement (Hazard Ratio: 1.10; 95% CI 1.05, 1.15; p\u2009&lt;\u20090.001). On-time order placement was associated with decreased PACU duration (p\u2009&lt;\u20090.001), decreased odds of peak PACU pain score (p\u2009&lt;\u20090.001), and decreased odds of multiple administration of antiemetics (p\u2009=\u20090.02). An order reminder system was associated with an increase in order placement prior to PACU arrival and a reduction in delay in order placement after arrival.<\/jats:p>","DOI":"10.1007\/s10916-024-02079-7","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T06:02:20Z","timestamp":1717999340000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Mobile Post Anesthesia Care Unit Order Reminder System Improves Timely Order Entry"],"prefix":"10.1007","volume":"48","author":[{"given":"Jacob C.","family":"Clifton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly B.","family":"Ende","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandramouli","family":"Rathnam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Freundlich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren S.","family":"Sandberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan P.","family":"Wanderer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"2079_CR1","doi-asserted-by":"crossref","unstructured":"Iten, A., Perrier, A., and Lovis, C., D\u00e9ploiement d'un programme de prescription informatis\u00e9e: description du processus et enjeux [Deployment of a computerized physician order entry: description of the process and challenges]. Rev. Med. Suisse. 2(83):2344\u20136, 2348\u20139, 2006. French. PMID: 17112085.","DOI":"10.53738\/REVMED.2006.2.83.2344"},{"key":"2079_CR2","doi-asserted-by":"publisher","unstructured":"Khajouei, R., and Jaspers, M. W., The impact of CPOE medication systems' design aspects on usability, workflow and medication orders: a systematic review. Methods Inf. Med. 49(1):3-19, 2010. https:\/\/doi.org\/10.3414\/ME0630. Epub 2009 Jul 6. PMID: 19582333.","DOI":"10.3414\/ME0630"},{"key":"2079_CR3","doi-asserted-by":"crossref","unstructured":"Kadry, B,. Feaster, W. W., Macario, A., and Ehrenfeld, J. M., Anesthesia information management systems: Past, present, and future of anesthesia records. Mt. Sinai J. Med. 79:154\u201365, 2012.","DOI":"10.1002\/msj.21281"},{"key":"2079_CR4","doi-asserted-by":"crossref","unstructured":"Ehrenfeld, J. M., The current and future needs of our medical systems. J. Med. 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