Department of Anaesthesiology, Stanford University School of Medicine, Stanford, California, USA.
Eur J Anaesthesiol. 2010 Feb;27(2):202-8. doi: 10.1097/EJA.0b013e3283313fc2.
An increasing number of studies suggest that anaesthesia information management systems (AIMS) improve clinical care. The purpose of this web survey study was to assess the prevalence of AIMS in European university-affiliated anaesthesia departments and to identify the motivations for and barriers to AIMS adoption.
A survey was e-mailed to 252 academic anaesthesia chairs of 294 university-affiliated hospitals in 22 European countries, with 41 e-mails returned as undeliverable, leaving the final sample equal to 211. Responders provided information on demographics, the other information technology systems available in their hospitals, and current implementation status of AIMS. Adopters were asked about motivations for installing AIMS, whereas nonadopters were asked about barriers to AIMS adoption.
Eighty-six (29%) of 294 hospitals responded. Forty-four of the 86 departments (51%) were considered AIMS adopters because they were already using (n = 15), implementing (n = 13) or selecting an AIMS (n = 16). The 42 remaining departments (49%) were considered nonadopters as they were not expecting to install an AIMS owing to lack of funds (n = 27), other reasons (n = 13) such as lack of support from the information technology department, or simply did not have a plan (n = 2). The top ranked motivators for adopting AIMS were improved clinical documentation, improvement in patient care and safety, and convenience for anaesthesiologists. AIMS adopters were more likely than nonadopters to already have other information technology systems deployed throughout the hospital.
At least 44 (or 15%) of the 294 university-affiliated departments surveyed in this study have already implemented, are implementing, or are currently selecting an AIMS. The main barrier identified by AIMS nonadopters is lack of funds.
越来越多的研究表明，麻醉信息管理系统（AIMS）可改善临床护理。本网络调查研究的目的是评估欧洲大学附属医院中 AIMS 的普及程度，并确定采用 AIMS 的动机和障碍。
向 22 个欧洲国家的 294 家大学附属医院的 252 名学术麻醉主席发送了电子邮件调查，其中 41 封电子邮件因无法投递而被退回，最终样本数为 211 封。回复者提供了有关人口统计学信息、医院内其他信息技术系统以及当前 AIMS 实施情况的信息。采用者被问及安装 AIMS 的动机，而非采用者则被问及采用 AIMS 的障碍。
294 家医院中有 86 家（29%）做出了回应。86 个部门中有 44 个（51%）被认为是 AIMS 采用者，因为他们已经在使用（n = 15）、实施（n = 13）或选择 AIMS（n = 16）。其余 42 个部门（49%）被认为是非采用者，因为他们由于缺乏资金（n = 27）、缺乏信息技术部门的支持等其他原因（n = 13），或者根本没有计划（n = 2），预计不会安装 AIMS。采用 AIMS 的主要动机是改善临床文档、改善患者护理和安全以及方便麻醉师。与非采用者相比，AIMS 采用者更有可能在整个医院部署其他信息技术系统。
在本研究调查的 294 家大学附属医院中，至少有 44 家（或 15%）已经实施、正在实施或正在选择 AIMS。非采用者认为的主要障碍是缺乏资金。
