{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T14:11:32Z","timestamp":1788617492584,"version":"build-2803163510"},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"35","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,8,30]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A hazai aneszteziol\u00f3giai ell\u00e1t\u00e1s dokument\u00e1ci\u00f3ja\n                    heterog\u00e9n, az adminisztr\u00e1land\u00f3 adatok k\u00f6r\u00e9t jellemz\u0151en az egyes int\u00e9zm\u00e9nyek\n                    bels\u0151 protokolljai hat\u00e1rozz\u00e1k meg. A betegek altat\u00e1sa alatt r\u00f6gz\u00edtett\n                    aneszteziol\u00f3giai jegyz\u0151k\u00f6nyvek pap\u00edralap\u00faak, ami az elt\u00e9r\u0151 adattartalom mellett\n                    tov\u00e1bb nehez\u00edti az adatok egys\u00e9ges, struktur\u00e1lt \u00e9s szisztematikus feldolgoz\u00e1s\u00e1t.\n                    Az \u00fajsz\u00fcl\u00f6ttek aneszt\u00e9zi\u00e1ja a betegek \u00e9retlens\u00e9ge \u00e9s postnatalis adapt\u00e1ci\u00f3juk\n                    miatt nagy kock\u00e1zattal j\u00e1r, ez\u00e9rt az altat\u00e1s sor\u00e1n keletkez\u0151 klinikai adatok\n                    rendszerezett r\u00f6gz\u00edt\u00e9se \u00e9s elemz\u00e9se kiemelt jelent\u0151s\u00e9g\u0171 az ell\u00e1t\u00e1s min\u0151s\u00e9g\u00e9nek\n                    fejleszt\u00e9se \u00e9s a betegbiztons\u00e1g n\u00f6vel\u00e9se szempontj\u00e1b\u00f3l.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Egycentrumos vizsg\u00e1latunk c\u00e9lja egy\n                    elektronikus neonatol\u00f3giai m\u0171t\u00e9ti esem\u00e9nynapl\u00f3 \u2013 a Neo Somno Log \u2013 fejleszt\u00e9se\n                    volt. Tesztelt\u00fck tov\u00e1bb\u00e1 az esem\u00e9nynapl\u00f3 alkalmazhat\u00f3s\u00e1g\u00e1t m\u0171t\u00e9ti k\u00f6r\u00fclm\u00e9nyek\n                    k\u00f6z\u00f6tt.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Az esem\u00e9nynapl\u00f3 adattartalm\u00e1t \u00e9s funkci\u00f3it\n                    szakmai egyeztet\u00e9sek sor\u00e1n dolgoztuk ki. Az els\u0151 l\u00e9p\u00e9sben Excel-alap\u00fa protot\u00edpus\n                    k\u00e9sz\u00fclt, amelyet oper\u00e1ci\u00f3s rendszert\u0151l f\u00fcggetlen, struktur\u00e1lt adatbevitelt\n                    t\u00e1mogat\u00f3 alkalmaz\u00e1s fejleszt\u00e9se k\u00f6vetett. Az alkalmaz\u00e1st m\u0171t\u0151i k\u00f6r\u00fclm\u00e9nyek\n                    k\u00f6z\u00f6tt 2022 \u00e9s 2025 k\u00f6z\u00f6tt, a Semmelweis Egyetem Gyermekgy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n\n                    tesztelt\u00fck, \u00fajsz\u00fcl\u00f6ttek aneszt\u00e9ziai ell\u00e1t\u00e1sa sor\u00e1n.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    Az applik\u00e1ci\u00f3ban \u00f6sszesen 864 k\u00fcl\u00f6nb\u00f6z\u0151 adatpont r\u00f6gz\u00edthet\u0151, amelyekb\u0151l 152\n                    alapadat, 117 adverz-, 416 aneszteziol\u00f3giai-, 62 gy\u00f3gyszerel\u00e9si-, 74 seb\u00e9szi- \u00e9s\n                    43 v\u00e9rg\u00e1zesem\u00e9ny. Az adatok az eml\u00edtett 5 dom\u00e9nben struktur\u00e1ltan, id\u0151b\u00e9lyeggel\n                    ell\u00e1tva annot\u00e1lhat\u00f3k. A tesztel\u00e9s sor\u00e1n 167 f\u0151, 6 kg alatti \u00fajsz\u00fcl\u00f6tt adatait\n                    r\u00f6gz\u00edtett\u00fck \u00e1ltal\u00e1nos aneszt\u00e9zia alatt a m\u0171t\u00e9ti esem\u00e9nynapl\u00f3ban, medi\u00e1n\n                    testt\u00f6meg\u00fck a m\u0171t\u00e9t idej\u00e9n 2900 g volt. 94 hasi, 21 idegseb\u00e9szeti, 22 mellkasi,\n                    14 szem\u00e9szeti \u00e9s 12 egy\u00e9b beavatkoz\u00e1s t\u00f6rt\u00e9nt.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A\n                    Neo Somno Log lehet\u0151s\u00e9get biztos\u00edt a val\u00f3s idej\u0171, struktur\u00e1lt klinikai\n                    adatgy\u0171jt\u00e9sre digit\u00e1lis form\u00e1ban, amely el\u0151seg\u00edti az intraoperat\u00edv adatok\n                    sokr\u00e9t\u0171 elemz\u00e9s\u00e9t, az ell\u00e1t\u00e1si folyamatok min\u0151s\u00e9g\u00e9rt\u00e9kel\u00e9s\u00e9t, valamint az\n                    eredm\u00e9nyek klinikai gyakorlatba t\u00f6rt\u00e9n\u0151 visszacsatol\u00e1s\u00e1t.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Az \u00fajsz\u00fcl\u00f6ttek aneszt\u00e9zi\u00e1ja sor\u00e1n\n                    tapasztalhat\u00f3 \u00e9lettani instabilit\u00e1s indokoltt\u00e1 teszi az intraoperat\u00edv esem\u00e9nyek\n                    struktur\u00e1lt \u00e9s szisztematikus dokument\u00e1l\u00e1s\u00e1t a betegbiztons\u00e1g n\u00f6vel\u00e9se\n                    \u00e9rdek\u00e9ben. A Neo Somno Log egyszer\u0171, \u00e1ttekinthet\u0151 \u00e9s standardiz\u00e1lt adatr\u00f6gz\u00edt\u00e9si\n                    strukt\u00far\u00e1j\u00e1val hat\u00e9konyan t\u00e1mogathatja ezt a t\u00f6rekv\u00e9st, \u00e9s hozz\u00e1j\u00e1rulhat a\n                    neonatol\u00f3giai aneszt\u00e9zia min\u0151s\u00e9g\u00e9nek fejleszt\u00e9s\u00e9hez. Orv Hetil. 2026; 167(35):\n                    1375\u20131383.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33593","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:15:29Z","timestamp":1788614129000},"page":"1375-1383","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Struktur\u00e1lt adatgy\u0171jt\u00e9s a neonatalis aneszt\u00e9ziai ell\u00e1t\u00e1s sor\u00e1n: Neo Somno Log \u2013 saj\u00e1t fejleszt\u00e9s\u0171 digitaliz\u00e1lt esem\u00e9nynapl\u00f3"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9538-0864","authenticated-orcid":true,"given":"Sarolta Haiyen","family":"Trinh","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k Budapest, B\u00f3kay J. u. 53\u201354., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Balog","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k Budapest, B\u00f3kay J. u. 53\u201354., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Bogner","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k Budapest, B\u00f3kay J. u. 53\u201354., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanda","family":"P\u00e1l","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k Budapest, B\u00f3kay J. u. 53\u201354., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gergely","family":"G\u0151bl","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Perioperat\u00edv Betegell\u00e1t\u00f3 Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"T\u00f6vish\u00e1zi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Perioperat\u00edv Betegell\u00e1t\u00f3 Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Jermendy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Neonatol\u00f3giai Tansz\u00e9k Budapest, B\u00f3kay J. u. 53\u201354., 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Hauser","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Perioperat\u00edv Betegell\u00e1t\u00f3 Int\u00e9zet Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Singh H, Kaur R, Gangadharan A, et al. Neo-bedside monitoring device\n                    for integrated neonatal intensive care unit (iNICU). IEEE Access 2018; 7:\n                    7803-7813.\n                    https:\/\/doi.org\/10.1109\/ACCESS.2018.2886879","DOI":"10.1109\/ACCESS.2018.2886879"},{"key":"R2","unstructured":"Act CLIV of 1997 on healthcare. [1997. \u00e9vi CLIV. t\u00f6rv\u00e9ny az\n                    eg\u00e9szs\u00e9g\u00fcgyr\u0151l.] Available from:\n                        https:\/\/net.jogtar.hu\/jogszabaly?docid=99700154.tv [accessed:\n                    May, 1, 2026]. [Hungarian]"},{"key":"R3","unstructured":"Act XLVII of 1997 on the management and protection of health and\n                    related personal data. [1997. \u00e9vi XLVII. t\u00f6rv\u00e9ny az eg\u00e9szs\u00e9g\u00fcgyi \u00e9s a hozz\u00e1juk\n                    kapcsol\u00f3d\u00f3 szem\u00e9lyes adatok kezel\u00e9s\u00e9r\u0151l \u00e9s v\u00e9delm\u00e9r\u0151l.] Available from:\n                        https:\/\/net.jogtar.hu\/jogszabaly?docid=99700047.tv [accessed:\n                    May, 1, 2026]. [Hungarian]"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Decree 60\/2003. (X. 20.) of the Minister of Health, Social and\n                    Family Affairs on the minimum professional conditions required for the provision\n                    of healthcare services. [60\/2003. (X. 20.) ESzCsM rendelet az eg\u00e9szs\u00e9g\u00fcgyi\n                    szolg\u00e1ltat\u00e1sok ny\u00fajt\u00e1s\u00e1hoz sz\u00fcks\u00e9ges szakmai minimumfelt\u00e9telekr\u0151l, Stat. 3\n                    (2003).] Available from:\n                        https:\/\/net.jogtar.hu\/jogszabaly?docid=a0300060.esc [accessed:\n                    May, 1, 2026]. [Hungarian]","DOI":"10.1111\/j.1741-2358.2003.00060.x"},{"key":"R5","unstructured":"Anesthesiology and Intensive Care Professional Collegiate Council:\n                    Perioperative patient safety guidelines in anesthesia, 2015. [Aneszteziol\u00f3giai\n                    \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Szakmai Koll\u00e9giumi Tan\u00e1cs: Perioperat\u00edv betegbiztons\u00e1gi\n                    aj\u00e1nl\u00e1sok az aneszt\u00e9zi\u00e1ban; 2015.] Available from:\n                        https:\/\/maitt.hu\/upload\/aneszteziologia\/document\/Preop_iranyelv_vegleges_simple.pdf?web_id=801B0DA04AB9B12\n                    [accessed: May, 1, 2026]. [Hungarian]"},{"key":"R6","unstructured":"Anesthesiology and Intensive Care Professional Collegiate Council:\n                    Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Szakmai Koll\u00e9giumi Tan\u00e1cs: Unified\n                    perioperative and anesthesiological documentation. [Egys\u00e9ges perioperat\u00edv \u00e9s\n                    aneszteziol\u00f3giai dokument\u00e1ci\u00f3, 2008.] Available from:\n                        https:\/\/maitt.hu\/upload\/aneszteziologia\/document\/ANESZTDokadat_IE.pdf?web_id=801B0DA04AB9B12\n                    [accessed: May, 1, 2026]. [Hungarian]"},{"key":"R7","unstructured":"Observational Health Data Science and Informatics. OMOP common data\n                    model. Available from: https:\/\/ohdsi.github.io\/CommonDatvaModel\n                    [accessed: May, 1, 2026]."},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Sz\u00e9kely O, M\u00e9sz\u00e1ros \u00c1, K\u0151v\u00e1ri E, et al. Real-world data in clinical\n                    research: a review of data models and supporting informatics systems. [Val\u00f3s\n                    klinikai adatok a klinikai kutat\u00e1sban: adatmodellek \u00e9s informatikai t\u00e1mogat\u00f3\n                    rendszerek \u00e1ttekint\u00e9se.] Orv Hetil. 2026; 167: 661-672. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2026.33511","DOI":"10.1556\/650.2026.33511"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Weiskopf NG, Weng C. Methods and dimensions of electronic health\n                    record data quality assessment: enabling reuse for clinical research. J Am Med\n                    Inform Assoc. 2013; 20: 144-151.\n                        https:\/\/doi.org\/10.1136\/amiajnl-2011-000681","DOI":"10.1136\/amiajnl-2011-000681"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Cook RI, McDonald JS, Nunziata E. Differences between handwritten\n                    and automatic blood pressure records. Anesthesiology 1989; 71: 385-390.\n                        https:\/\/doi.org\/10.1097\/00000542-198909000-00013","DOI":"10.1097\/00000542-198909000-00013"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Reich DL, Wood RK, Jr., Mattar R, et al. Arterial blood pressure and\n                    heart rate discrepancies between handwritten and computerized anesthesia\n                    records. Anesth Analg. 2000; 91: 612-616.\n                        https:\/\/doi.org\/10.1213\/00000539-200009000-00022","DOI":"10.1213\/00000539-200009000-00022"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"van Schalkwyk JM, Lowes D, Frampton C, et al. Does manual\n                    anaesthetic record capture remove clinically important data? Br J Anaesth. 2011;\n                    107: 546-552. https:\/\/doi.org\/10.1093\/bja\/aer163","DOI":"10.1093\/bja\/aer163"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Edwards KE, Hagen SM, Hannam J, et al. A randomized comparison\n                    between records made with an anesthesia information management system and by\n                    hand, and evaluation of the Hawthorne effect. Can J Anaesth. 2013; 60: 990-997.\n                        https:\/\/doi.org\/10.1007\/s12630-013-0003-y","DOI":"10.1007\/s12630-013-0003-y"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Galletly DC, Rowe WL, Henderson RS. The anaesthetic record: a\n                    confidential survey on data omission or modification. Anaesth Intensive Care\n                    1991; 19: 74-78.\n                    https:\/\/doi.org\/10.1177\/0310057X9101900113","DOI":"10.1177\/0310057X9101900113"},{"key":"R15","unstructured":"Balog V, Trinh S, Barra M, et al. Cerebral oxygenation changes in\n                    neonates under anesthesia (abstract). In: Proceedings of the 15th International\n                    Newborn Brain Conference: Other forms of brain monitoring, such as NIRS, fMRI,\n                    biochemical, etc. Fota Island, Cork, Ireland, February 28th-March 2, 2024. J\n                    Neonat-Perinat Med. 2024; 17: S405."},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Fiadjoe JE, Nishisaki A, Jagannathan N, et al. Airway management\n                    complications in children with difficult tracheal intubation from the Pediatric\n                    Difficult Intubation (PeDI) registry: a prospective cohort analysis. Lancet\n                    Respir Med. 2016; 4: 37-48.\n                        https:\/\/doi.org\/10.1016\/S2213-2600(15)00508-1","DOI":"10.1016\/S2213-2600(15)00508-1"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Jagannathan N, Sohn L, Fiadjoe JE. Paediatric difficult airway\n                    management: what every anaesthetist should know! Br J Anaesth. 2016; 117(Suppl\n                    1): i3-i5. https:\/\/doi.org\/10.1093\/bja\/aew054","DOI":"10.1093\/bja\/aew054"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Walker BJ, Long JB, Sathyamoorthy M, et al. Complications in\n                    pediatric regional anesthesia: an analysis of more than 100,000 blocks from the\n                    pediatric regional anesthesia network. Anesthesiology 2018; 129: 721-732.\n                        https:\/\/doi.org\/10.1097\/ALN.0000000000002372","DOI":"10.1097\/ALN.0000000000002372"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Suresh S, Schaldenbrand K, Wallis B, et al. Regional anaesthesia to\n                    improve pain outcomes in paediatric surgical patients: a qualitative systematic\n                    review of randomized controlled trials. Br J Anaesth. 2014; 113: 375-390.\n                        https:\/\/doi.org\/10.1093\/bja\/aeu156","DOI":"10.1093\/bja\/aeu156"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Bogner LL, Pekli-T\u00f3th F, Trinh S, et al. NeoTracker - a\n                    self-developed digital event log in delivery room stabilization of newborn\n                    infants. [NeoTracker - saj\u00e1t fejleszt\u00e9s\u0171 digitaliz\u00e1lt esem\u00e9nynapl\u00f3 az\n                    \u00fajsz\u00fcl\u00f6ttek sz\u00fcl\u0151szobai stabiliz\u00e1ci\u00f3j\u00e1r\u00f3l.] Orv Hetil. 2026; 167: 595-604.\n                    [Hungarian] https:\/\/doi.org\/10.1556\/650.2026.33521","DOI":"10.1556\/650.2026.33521"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Lantos L, Sz\u0151ll\u0151s K, R\u00f3zsa D, et al. Quantitative and qualitative\n                    indicators of neonatological care at the Maternity Private Obstetric and\n                    Gynecologic Hospital in 2023. [A neonatol\u00f3giai ell\u00e1t\u00e1s mennyis\u00e9gi \u00e9s min\u0151s\u00e9gi\n                    mutat\u00f3i a Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinik\u00e1n 2023-ban.] Orv\n                    Hetil. 2025; 166: 658-668. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2025.33284","DOI":"10.1556\/650.2025.33284"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Ivancs\u00f3 J. Pediatricians\u2019 knowledge of neonatal pain.\n                    [Gyermekgy\u00f3gy\u00e1szok neonat\u00e1lis f\u00e1jdalommal kapcsolatos ismeretei.] Orv Hetil.\n                    2025; 166: 292-300. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2025.33225","DOI":"10.1556\/650.2025.33225"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Hollenberg JP, Pirraglia PA, Williams-Russo P, et al. Computerized\n                    data collection in the operating room during coronary artery bypass surgery: a\n                    comparison to the hand-written anesthesia record. J Cardiothorac Vasc Anesth.\n                    1997; 11: 545-551.\n                    https:\/\/doi.org\/10.1016\/S1053-0770(97)90001-X","DOI":"10.1016\/S1053-0770(97)90001-X"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Schechtman SA, Healy DW, Shah NJ, et al. Optimising difficult airway\n                    documentation: implementation of an automated update in the electronic health\n                    record. 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