Collection of process data after cardiac surgery: Initial implementation with a Java-based intranet applet

Background. Using a Java-based intranet program (applet), we collected post operative process data after coronary artery bypass grafting. Methods. A Java-based applet was developed and deployed on a hospital intra net. briefly, the nurse entered patient process data using a point and clic k interface. The applet generated a nursing note, and process data were sav ed in a Microsoft Access database. In 10 patients, this method was validate d by comparison with a retrospective chart review. In 45 consecutive patien ts, weekly control charts were generated from the data. When aberrations fr om the pathway occurred, feedback was initiated to restore the goals of the critical pathway. Results. The intranet process data collection method was verified by a manu al chart review with 98% sensitivity. The control charts for time to extuba tion, intensive care unit stay, and hospital stay showed a deviation from c ritical pathway goals after the first 20 patients. Feedback modulation was associated with a return to critical pathway goals. Conclusions. Java-based applets are inexpensive and can collect accurate po stoperative process data, identify critical pathway deviations, and allow t imely feedback of process data. (C) by The Society of Thoracic Surgeons.