Benson M, Junger A, Quinzio L, Michel A, Sciuk G, Fuchs C, Marquardt K, Hempelmannn G
Abteilung Anaesthesiologie und Operative Intensivmedizin, Justus-Liebig-Universität Giessen.
Z Arztl Fortbild Qualitatssich. 2000 Sep;94(7):613-9.
Anesthesia Information Management Systems (AIMS) are required to supply large amounts of data for various purposes such as performance recording, quality assurance, training, operating room management and research. It was our objective to establish an AIMS that enables every member of the department to independently access queries at his/her work station and at the same time allows the presentation of data in a suitable manner in order to increase the transfer of different information to the clinical workstation. Apple Macintosh Clients (Apple Computer, Inc. Cupertino, California) and the file- and database servers were installed into the already partially existing hospital network. The most important components installed on each computer are the anesthesia documenting software NarkoData (ProLogic GmbH, Erkrath), HIS client software and a HTML browser. More than 250 queries for easy evaluation were formulated with the software Voyant (Brossco Systems, Espoo, Finland). Together with the documentation they are the evaluation module of the AIMS. Today, more than 20,000 anesthesia procedures are recorded each year at 112 decentralised workstations with the AIMS. In 1998, 90.8% of the 20,383 performed anesthetic procedures were recorded online and 9.2% entered postopeatively into the system. With a corresponding user access it is possible to receive all available patient data at each single anesthesiological workstation via HIS (diagnoses, laboratory results) anytime. The available information includes previous anesthesia records, statistics and all data available from the hospitals intranet. This additional information is of great advantage in comparison to previous working conditions. The implementation of an AIMS allowed to greatly enhance the quota but also the quality of documentation and an increased flow of information at the anesthesia workstation. The circuit between data entry and the presentation and evaluation of data, statistics and results directly available at the clinical workstation was put into practice.
麻醉信息管理系统（AIMS）需要提供大量数据以用于各种目的，如性能记录、质量保证、培训、手术室管理和研究。我们的目标是建立一个AIMS，使科室的每个成员都能在其工作站独立访问查询，同时以合适的方式呈现数据，以增加不同信息向临床工作站的传递。苹果麦金塔客户端（苹果电脑公司，加利福尼亚州库比蒂诺）以及文件和数据库服务器被安装到已部分存在的医院网络中。每台计算机上安装的最重要组件是麻醉记录软件NarkoData（ProLogic GmbH，埃尔克拉特）、医院信息系统客户端软件和一个HTML浏览器。使用Voyant软件（Brossco Systems，芬兰埃斯波）制定了250多个便于评估的查询。它们与文档一起构成了AIMS的评估模块。如今，每年在112个分散的工作站使用AIMS记录超过20,000例麻醉过程。1998年，在20,383例实施的麻醉过程中，90.8%是在线记录的，9.2%是术后录入系统的。通过相应的用户访问权限，在每个单一的麻醉工作站随时都可以通过医院信息系统接收所有可用的患者数据（诊断结果、实验室检查结果）。可用信息包括以前的麻醉记录、统计数据以及医院内联网提供的所有数据。与以前的工作条件相比，这些额外信息具有很大优势。AIMS的实施极大地提高了记录的配额和质量，也增加了麻醉工作站的信息流。数据录入与临床工作站直接可用的数据、统计数据和结果的呈现与评估之间的循环得以实现。
