Documenting anesthesia care in the patient’s medical record accurately and thoroughly is essential to communicate the patient’s anesthetic experience. The anesthesia record should document relevant anesthesia-related information in an accurate, complete, and legible manner. Anesthesia care comprises three phases: preanesthesia, intraoperative/intraprocedural anesthesia and postanesthesia
Documenting vitals and patient history during pre-op anesthesia is time consuming while recording vitals in the post-anesthesia care unit (PACU) will take away a significant portion of time dedicated for patient care. Electronic anesthesia documentation is considered a fast and efficient method that ensures clear
Documentation of anesthesiology reports is an important procedure and has to be performed carefully. Busy anesthesiologists serving a wide range of medical specialties most often do not have the time to complete documentation procedures punctually. Medical transcription outsourcing would allow them to manage their