Implementation and Evaluation of a Web-Based Distribution System For Anesthesia Department Guidelines and Standard Operating Procedures: Qualitative Study and Content Analysis

Bachmann, Kaspar; Vetter, Christian Thomas; Wenzel, Lars; Konrad, Christoph; Vogt, Andreas (2019). Implementation and Evaluation of a Web-Based Distribution System For Anesthesia Department Guidelines and Standard Operating Procedures: Qualitative Study and Content Analysis. Journal of medical internet research, 21(8), e14482. JMIR Publications 10.2196/14482

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Background: Digitization is spreading exponentially in medical care, with improved availability of electronic devices. Guidelinesand standard operating procedures (SOPs) form an important part of daily clinical routine, and adherence is associated withimproved outcomes.
Objective: This study aimed to evaluate a digital solution for the maintenance and distribution of SOPs and guidelines in 2different anesthesiology departments in Switzerland.
Methods: A content management system (CMS), WordPress, was set up in 2 tertiary-level hospitals within 1 year: the Departmentof Anesthesiology and Pain Medicine at the Kantonsspital Lucerne in Lucerne, Switzerland, as an open-access system, followedby a similar system for internal usage in the Department of Anaesthesiology and Pain Medicine of the Inselspital, Bern UniversityHospital, in Bern, Switzerland. We analyzed the requirements and implementation processes needed to successfully set up thesesystems, and we evaluated the systems’ impact by analyzing content and usage.
Results: The systems’ generated exportable metadata, such as traffic and content. Analysis of the exported metadata showedthat the Lucerne website had 269 pages managed by 44 users, with 88,124 visits per month (worldwide access possible), and theBern website had 341 pages managed by 35 users, with 1765 visits per month (access only possible from within the institution).Creation of an open-access system resulted in third-party interest in the published guidelines and SOPs. The implementationprocess can be performed over the course of 1 year and setup and maintenance costs are low.
Conclusions: A CMS, such as WordPress, is a suitable solution for distributing and managing guidelines and SOPs. Contentis easily accessible and is accessed frequently. Metadata from the system allow live monitoring of usage and suggest that thesystem be accepted and appreciated by the users. In the future, Web-based solutions could be an important tool to handle guidelinesand SOPs, but further studies are needed to assess the effect of these systems.

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