Vigoda Michael M, Lubarsky David A
Department of Anesthesiology, Perioperative Medicine and Pain Management, Center for Informatics and Perioperative Management, University of Miami/Jackson Memorial Medical Center, Miami, Florida 33136, USA.
Anesth Analg. 2006 Jun;102(6):1798-802. doi: 10.1213/01.ane.0000217235.25350.5e.
Automated anesthesia record-keeping systems (AARKs) are increasingly being used. There is a perception that AARKs may limit medical liability. We report a case in which our AARK may have increased our medical liability exposure. Nine months after a patient suffered a serious intraoperative complication, the anesthesiologist was named (as one of several defendants) in a claim alleging failure to properly monitor anesthetic care. One reason why the anesthesiologist was named related to a gap of 93 min in which no vital signs were documented in the anesthesia record. Relying on the physiological monitors to assess the patient's condition, the anesthesiologist did not recognize the interruption of data transmission, because the "active" medication window obscured the graphical display of the vital sign window.
自动麻醉记录系统（AARKs）的使用越来越广泛。有一种观点认为，AARKs可能会限制医疗责任。我们报告了一个案例，在该案例中，我们的AARK可能增加了我们面临医疗责任的风险。一名患者在术中出现严重并发症九个月后，麻醉医生被列为（众多被告之一）一项索赔案中的被告，该索赔案指控其未能对麻醉护理进行适当监测。麻醉医生被列为被告的一个原因与麻醉记录中93分钟没有生命体征记录的空白期有关。依靠生理监测仪评估患者状况，麻醉医生没有意识到数据传输中断，因为“正在使用”的药物窗口遮挡了生命体征窗口的图形显示。
