Safety, quality & education

Family Engagement With Pediatric Anesthetic Records: A Qualitative Study of Provider‐Guardian Communication and Record Design

Paediatr AnaesthPublished Qualitative study

Authors' conclusion

Guardians face substantial barriers when interpreting pediatric anesthetic records.

Study context

Population
English-speaking guardians of ASA I–II children undergoing outpatient surgery under GA (ETT or SGA) at a quaternary academic pediatric hospital, April 2023–August 2024
Participants
20 guardians
Outcome
Guardians' engagement with their child's anesthetic record
Methodological detailssemi-structured video conference interviews, semi-purposive convenience sampling, inductive and deductive thematic coding, single-centre
  • Semi-structured video conference interviews
  • Semi-purposive convenience sampling
  • Inductive and deductive thematic coding
  • Single-centre

Main finding

As reported in the abstract

  • Meaningful elements: medications administered, provider involvement, event timelines, child's reactions to anesthesia
  • Confusion from unexplained abbreviations, medical jargon, non-chronological data presentation, unclear visual formatting and perceived inaccuracies
  • Interpretation influenced by comfort with health information, emotional state and pediatric-specific considerations
  • Emotional responses ranged from reassurance to anxiety; some found the record useful for future care planning, others found elements distressing or difficult to interpret

Original publication

Family Engagement With Pediatric Anesthetic Records: A Qualitative Study of Provider‐Guardian Communication and Record Design. Paediatr Anaesth. Published 17 February 2026. doi:10.1002/pan.70149

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