Developing a digital safe sedation logbook and audit tool (SEDlog) for healthcare professionals

镇静包括服用药物以缓解焦虑、减轻疼痛和提供健忘症，从而使患者能够忍受令人不快的诊断和治疗过程。在适当的程序中，它被用作全身麻醉剂的更安全的替代品，并且在内科和外科手术中使用镇静的趋势越来越大。镇静的管理可以由经过适当培训的非麻醉师医生和护士来执行，这缓解了NHS的一个重要瓶颈，并解决了麻醉师的压倒性短缺。医疗保健专业人员有法规要求保持他们的镇静案例的日志，并对实践进行定期审计。目前，专业人士保留一本纸质日志，仅提供有限的能力证据和数据供审计使用。出于这个原因，医院/诊所不进行定期审计，这使得确定需要改进的实践领域变得更加困难。镇静也有可能导致危及生命的并发症。该提议的项目包括开发一款名为SEDlog的移动应用程序，允许专业人士基于云保存他们的镇静技术的数字记录，可以轻松下载，作为持续能力的证据。它使提供商能够进行基于单位的审计和分析。该应用程序还提供关于英国镇静实践的全国匿名数据洞察(使用的药物、使用的监测设备、每个医疗专业和地区的并发症)。

Sedation consists of the administration of medication to relieve anxiety, reduce pain and provide amnesia, so that patients can tolerate unpleasant diagnostic and therapeutic procedures. It is used as a safer alternative to general anaesthetic for appropriate procedures, and there is an increasing trend toward the use of sedation for medical and surgical procedures.Administration of sedation can be performed by appropriately trained non anaesthetist doctors and nurses, relieving an important bottleneck in the NHS and addressing the overwhelming shortage of anaesthetists.Healthcare professionals have a regulatory requirement to keep a logbook of their sedation cases and to perform regular audits of practice. Currently, professionals keep a paper logbook which provides only limited evidence of competency and data for audits. For this reason, hospitals/clinics don't run regular audits, making it more difficult to identify areas of practice that need improvement. Sedation also has the potential to cause life-threatening complications.The proposed project comprises the development of a mobile app - SEDlog - that allows professionals to keep a cloud based digital record of their sedation techniques which can be easily downloaded as proof of ongoing competency. It enables providers to conduct unit based audit and analytics. The app also provides national anonymised data insights on sedation practice in the UK (drugs administered, monitoring equipment used, complications per medical specialty and region).