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and informed consent. To the surgery patients was
assured anonymous participation and given their
written and informed consent. They were also
informed about the importance of the study.
6 FINDINGS
The study principal results showed that before the
perioperative electronic system implementation in
the OR only 1,2 % of the nurses registered the
preoperative visit and after its implementation 87,6
% of the nurses registered it.
In the intraoperative stage, before the
perioperative electronic system implementation in
the OR the nursing plan was registered by 62,7%
nurses; there was no register about the security
checklist and time indicators like the operative
times. After the electronic system implementation
the nursing plan was registered by 96,7% of the
nurses, security checklist and operative times was
recorded by 100%.
In the postoperative stage, before the
perioperative electronic system implementation in
the OR the acute pain monitoring was not registered
and the register of the postoperative visit was
recorded by only 4,8% of the nurses. After the
electronic system implementation the acute pain
monitoring and the postoperative visit was registered
by 86,7% of the nurses.
Note that the register made before the electronic
system was on paper.
The surgery patients were mostly women (1st
group: 57,8%/ 2nd group: 63%) between 65 and 69
years old (1st group: 36,5%/ 2nd group: 30%). The
surgery performed was manly major (1st group:
70%/ 2nd group: 78,7%) with general anaesthetic
(1st group: 58,7%/ 2nd group: 59,1%). The medium
time of surgery was 2 hours and 58 minutes in the
first group. In the second group was 3h and 2
minutes.
The different patient features assessed exhibited
that after the implementation of the perioperative
electronic system the anxiety levels (1st group:
13,72/ 2nd group: 10,97) monitored and the falling
risk (1st group: 57,0%/ 2nd group: 48,3%) were
lower than before (p-value <0,05). The pain level
observed in the preoperative stage (1st group: 2,66/
2nd group: 1,19), intraoperative stage (1st group:
2,05/ 2nd group: 0,72) and postoperative stage (1st
group: 4,5/ 2nd group: 0,45) were inferior too (p-
value <0,05).
7 DISCUSSION
The purpose of this study was to develop and
implement a perioperative electronic system at Dr.
Nélio Mendonça Hospital OR. The records in paper
form were now computerized. By assessing health
gains through the application of a dynamic and
holistic model created for surgery patient features
and perioperative nursing practices the results
indicate that the perioperative electronic system was
beneficial to the nurses and to the surgery patients.
The new registry units interdisciplinary in the
perioperative period was achieved like recorded
operative times, which were not counted in the
patients, surgical safety checklist application, direct
link to the national database, epidemiological
surveillance of surgical site infection HELICS-
Surgical Site Infection, updated waiting lists and
others.
Perioperative nursing practices included
preoperative visit, hospitalization, intraoperative
interventions, postoperative visit, monitoring of
postoperative acute pain and anxiety levels which
were lower than before implementing the
perioperative electronic system.
With the reorganization and compilation of
various components and instruments, professionals
cooperated by resolving many problems, never
discussed before, and that, in a way, converged for
the quality assurance and safety of perioperative care
conditions, for all the intervenient.
8 CONCLUSION
Perioperative care is complex and involves multiple
interconnected subsystems which are a microcosm
of the hospital. Delayed starts, prolonged cases and
overtime are common. Surgical procedures are
major drivers of patient morbidity, mortality,
satisfaction, and overall hospital costs and
profitability. These challenges in perioperative and
surgical care are overwhelming. To fulfill the
promise of new informatics and technology
approaches, a dramatic change is needed in how
technology is designed, deployed, and supported
within the perioperative environment. Technology
that is designed expressly for and adequately tailored
to the demands of the perioperative care process and
requirements will result in optimal clinical adoption
and outcomes. New digital equipment can decrease
surgery time and created a safer environment for
both patients and staff members. Through the design
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