Implementation of a digital perioperative planning interface in electronic patient records: a clinical audit in high-risk paediatric patients

Daniel Chan; Margherita Faulkner; Rakesh Amin; Abigail Atterbury-Todd; Nicola Birchmore; Ingry Camero; Manuela Cerbone; Alexander Chesover; Antonia Dastamani; Mehul Dattani; Nicola Farrell; Gan Hoong Wei; Clare Gilbert; Shirley Langham; Sinead McGlacken-Byrne; Kate Morgan; Alicia Parsons; Sally Tollerfield; Samantha Wade; Hannah Wadey; Harshini Katugampola; Catherine Peters

doi:10.1530/endoabs.111.P139

P139

Prev Next

Section Contents Cite

Endocrine Abstracts (2025) 111 P139 | DOI: 10.1530/endoabs.111.P139

BSPED2025 Poster Presentations Miscellaneous/Other 3 (8 abstracts)

Implementation of a digital perioperative planning interface in electronic patient records: a clinical audit in high-risk paediatric patients

Daniel Chan ¹ , Margherita Faulkner ¹ , Rakesh Amin ¹ , Abigail Atterbury-Todd ¹ , Nicola Birchmore ¹ , Ingry Camero ¹ , Manuela Cerbone ¹ , Alexander Chesover ¹ , Antonia Dastamani ¹ , Mehul Dattani ^1,2 , Nicola Farrell ¹ , Hoong Wei Gan ¹ , Clare Gilbert ¹ , Shirley Langham ¹ , Sinead McGlacken-Byrne ¹ , Kate Morgan ¹ , Alicia Parsons ¹ , Sally Tollerfield ¹ , Samantha Wade ¹ , Hannah Wadey ³ , Harshini Katugampola ^4,2 & Catherine Peters ⁴

Author affiliations

¹Great Ormond Street Hospital, London, United Kingdom; ²Genetics & Genomic Medicine, UCL Great Ormond Street Institute of Child Health, London, United Kingdom; ³Data Research, Innovation, and Virtual Environment unit, Great Ormond Street Hospital for Children, London, United Kingdom; ⁴Great Ormond Street Hospital for Children, London, United Kingdom

Background: Effective perioperative care in high-risk patients depends on timely access to clear and actionable management plans. However, critical instructions are often within unstructured or non-standardised clinical documentation, limiting visibility. This can adversely affect patient care and outcomes. Integrating a clinician-facing perioperative planning interface into the electronic patient record (EPR) provides a scalable solution to improve information access, streamline workflows, and enhance safety for paediatric patients with complex comorbidities.

Objective: To design and audit the implementation, usability, and uptake of a digital interface for embedding perioperative plans in paediatric patients with complex medical conditions.

Methods: We conducted a 12-month retrospective audit (1 July 2023 – 1 July 2024) of a digital perioperative planning interface integrated into the EPR at a tertiary children’s hospital. The interface enabled clinicians to document structured plans using pre-configured “speed buttons” for high-risk conditions such as adrenal insufficiency, diabetes, and hypoglycaemia. Plans were designed for real-time visibility within the EPR storyboard, where hovering over the relevant section displayed the plan for convenient review. Usage was tracked by number of plans entered, categorised by subspecialty. Qualitative feedback from nurses and doctors was collected to explore usability and perceived impact on clinical workflow.

Results: A total of 1019 structured perioperative plans were documented, with highest usage in adrenal (44.7%) and hypoglycaemia (23.3%) pathways, followed by diabetes, metabolic, and other conditions (p < 0.001). The digital interface enabled timely access to perioperative instructions, improving clarity and visibility. Themes of feedback reported by end-users included enhanced workflow efficiency, patient safety, and interdisciplinary communication. While uptake was high in endocrine-related pathways, usage was lower in other specialties, highlighting opportunities for broader engagement and system-wide optimisation.

Conclusion: Future implementation studies should evaluate whether structured perioperative planning interfaces within the EPR translate into measurable improvements in patient outcomes and care quality. Identifying barriers to adoption will require an iterative, user-centred approach, incorporating methods such as design sprints and co-design workshops. Broad stakeholder engagement will be essential to ensuring sustained uptake and functionality. Priorities for further development include interface customisation, visual design enhancements, and seamless information flow across trusts.