Egan Marie T, Sandberg Warren S
Department of Nursing, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Surg Innov. 2007 Mar;14(1):41-50; discussion 51. doi: 10.1177/1553350606298971.
Automatic identification technologies, such as bar coding and radio frequency identification, are ubiquitous in everyday life but virtually nonexistent in the operating room. User expectations, based on everyday experience with automatic identification technologies, have generated much anticipation that these systems will improve readiness, workflow, and safety in the operating room, with minimal training requirements. We report, in narrative form, a multi-year experience with various automatic identification technologies in the Operating Room of the Future Project at Massachusetts General Hospital. In each case, the additional human labor required to make these ;labor-saving' technologies function in the medical environment has proved to be their undoing. We conclude that while automatic identification technologies show promise, significant barriers to realizing their potential still exist. Nevertheless, overcoming these obstacles is necessary if the vision of an operating room of the future in which all processes are monitored, controlled, and optimized is to be achieved.
自动识别技术，如条形码和射频识别，在日常生活中无处不在，但在手术室中却几乎不存在。基于日常使用自动识别技术的经验，用户期望这些系统能够在手术室中提高准备就绪程度、优化工作流程并提升安全性，且只需极少的培训要求。我们以叙述形式报告了在麻省总医院未来手术室项目中使用各种自动识别技术的多年经验。在每种情况下，使这些“省力”技术在医疗环境中发挥作用所需的额外人力被证明是它们失败的原因。我们得出结论，虽然自动识别技术有前景，但实现其潜力仍存在重大障碍。然而，如果要实现未来手术室的愿景，即所有流程都能被监控、控制和优化，那么克服这些障碍是必要的。
