Benson M, Junger A, Quinzio L, Michel A, Marquardt K, Hempelmann G
Abteilung Anaesthesiologie und Operative Intensivmedizin, Justus-Liebig-Universität Giessen.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1999 Jan;34(1):17-23. doi: 10.1055/s-1999-168.
In 1994, the Department of Anaesthesiology and Intensive Care Medicine of the Justus Liebig University at Giessen decided to install an Anaesthesia Information Management System (AIMS). Individual aspects and results from routine operation are presented, demonstrating the quality of the documentation and the value of information at the anaesthesiological workstation. The paper discusses which adaptations are necessary according to the experience gathered.
For the installation of the system Apple Macintosh Clients (Apple Computer, Inc., Cupertino, California) and a File Server were integrated into the partially existing hospital network. The hospital network had to be enlarged during the project according to the Anaesthesiological requirements. The software of the Hospital Information System (HIS) and an HTML browser were installed at individual workstation computers in addition to the Anaesthesia documentation software NarkoData (ProLogic GmbH, Erkrath). The remote control software Timbuktu (Farallon, Alameda, USA) has been added to facilitate remote administration. The file administration programme FileWave (Wave Research, Berkeley, USA) is used for file distribution. Since 1995, all anaesthesia procedures have been documented with the system, either by online or postoperative recording. Since 1997, the recorded information has been stored in a relational Oracle 7 data bank (Oracle Corporation).
From 1995 to 1997, 60,405 anaesthesiological procedures have been recorded with the help of this AIMS at 111 decentralised workstations. In 1997, 87.8% of the 21,130 performed anaesthesia procedures have been recorded online with the system and 12.2% postoperatively. From 1995 to 1997, the number of recorded procedures increased by 6.4% from 19,854 to 21,130. Because of lacking interfaces at some patient monitoring stations, the automatic recording of patient data could only be implemented at 69 workstations (62%). With the corresponding access rights, important patient information from the HIS (diagnoses, laboratory results, etc.), records of previous Anaesthesia procedures, numerous statistics, and the whole information from the hospital's intranet (including e-mail) are available at the anaesthesiological workstation at any time.
The implementation of the AIMS and an effective user support have been able to increase significantly the quality of documentation, the flow of information at the anaesthesia workplace and the number of recorded Anaesthesia procedures. All recorded data can be analysed immediately The expansion of the automatic data transfer from the patient monitoring, interfaces to other computer subsystems of the hospital and a practicable evaluation programme are necessary for further enhancing the efficiency of the AIMS.
1994年，吉森尤斯图斯·利比希大学麻醉学与重症医学系决定安装一套麻醉信息管理系统（AIMS）。本文介绍了日常运行中的各个方面及结果，展示了麻醉工作站文档记录的质量和信息价值。本文还根据所积累的经验讨论了哪些调整是必要的。
为安装该系统，将苹果麦金塔客户端（苹果电脑公司，加利福尼亚州库比蒂诺）和一台文件服务器集成到部分已有的医院网络中。在项目期间，必须根据麻醉学要求扩大医院网络。除了麻醉记录软件NarkoData（ProLogic有限公司，埃尔克拉特）外，医院信息系统（HIS）软件和一个HTML浏览器安装在各个工作站计算机上。添加了远程控制软件Timbuktu（法拉龙公司，美国阿拉米达）以方便远程管理。文件管理程序FileWave（Wave Research公司，美国伯克利）用于文件分发。自1995年以来，所有麻醉程序均通过该系统进行记录，记录方式可以是在线记录或术后记录。自1997年以来，所记录的信息存储在一个关系型Oracle 7数据库（甲骨文公司）中。
1995年至1997年期间，借助该AIMS在111个分散的工作站记录了60405例麻醉程序。1997年，在21130例已实施的麻醉程序中，87.8%通过该系统进行了在线记录，12.2%为术后记录。1995年至1997年，记录的程序数量从19854例增加到21130例，增长了6.4%。由于一些患者监测站缺乏接口，患者数据的自动记录仅在69个工作站（62%）得以实现。凭借相应的访问权限，麻醉工作站可随时获取来自HIS的重要患者信息（诊断结果、实验室检查结果等）、既往麻醉程序记录、大量统计数据以及医院内部网的全部信息（包括电子邮件）。
AIMS的实施以及有效的用户支持显著提高了文档记录质量、麻醉工作场所的信息流以及所记录的麻醉程序数量。所有记录的数据均可立即进行分析。进一步提高AIMS的效率，需要扩大患者监测的自动数据传输范围、与医院其他计算机子系统的接口以及一个实用的评估程序。
