Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone

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...

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Autores principales:	Sophia Sung, Hilde Hørthe, Øyvind Veel Svendsen, Alex J. van Duinen, Øyvind Salvesen, Alphonsus Vandi, Håkon A. Bolkan
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Surgical training Medical education Global surgery Mobile applications Surgical logbook Database Special aspects of education LC8-6691 Medicine R
Acceso en línea:	https://doaj.org/article/67d2a26c94cc474892cf95de37581b85
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spelling	oai:doaj.org-article:67d2a26c94cc474892cf95de37581b852021-11-21T12:42:05ZEarly evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone10.1186/s12909-021-03012-z1472-6920https://doaj.org/article/67d2a26c94cc474892cf95de37581b852021-11-01T00:00:00Zhttps://doi.org/10.1186/s12909-021-03012-zhttps://doaj.org/toc/1472-6920Abstract 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.Sophia SungHilde HørtheØyvind Veel SvendsenAlex J. van DuinenØyvind SalvesenAlphonsus VandiHåkon A. BolkanBMCarticleSurgical trainingMedical educationGlobal surgeryMobile applicationsSurgical logbookDatabaseSpecial aspects of educationLC8-6691MedicineRENBMC Medical Education, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgical training Medical education Global surgery Mobile applications Surgical logbook Database Special aspects of education LC8-6691 Medicine R
spellingShingle	Surgical training Medical education Global surgery Mobile applications Surgical logbook Database Special aspects of education LC8-6691 Medicine R Sophia Sung Hilde Hørthe Øyvind Veel Svendsen Alex J. van Duinen Øyvind Salvesen Alphonsus Vandi Håkon A. Bolkan Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
description	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.
format	article
author	Sophia Sung Hilde Hørthe Øyvind Veel Svendsen Alex J. van Duinen Øyvind Salvesen Alphonsus Vandi Håkon A. Bolkan
author_facet	Sophia Sung Hilde Hørthe Øyvind Veel Svendsen Alex J. van Duinen Øyvind Salvesen Alphonsus Vandi Håkon A. Bolkan
author_sort	Sophia Sung
title	Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
title_short	Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
title_full	Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
title_fullStr	Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
title_full_unstemmed	Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone
title_sort	early evaluation of the transition from an analog to an electronic surgical logbook system in sierra leone
publisher	BMC
publishDate	2021
url	https://doaj.org/article/67d2a26c94cc474892cf95de37581b85
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Early evaluation of the transition from an analog to an electronic surgical logbook system in Sierra Leone

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