Wanderer Jonathan P, Sandberg Warren S, Ehrenfeld Jesse M
Massachusetts General Hospital, Boston, MA, USA.
Anesthesiol Clin. 2011 Sep;29(3):389-96. doi: 10.1016/j.anclin.2011.05.003. Epub 2011 Jul 21.
Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding of technical considerations. Various successful implementations are reviewed, encompassing cost reduction, improved revenue capture, timely antibiotic administration, and postoperative nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support.
在整个医院环境中采用信息系统，推动了实时生理警报和临床医生提醒系统的发展。这些临床工具可通过部署麻醉信息管理系统（AIMS）来提供。创建可用的警报系统需要了解技术方面的考虑因素。本文回顾了各种成功的实施案例，包括成本降低、收入获取改善、抗生素及时给药以及术后恶心和呕吐预防。实时警报和提醒广泛应用面临的挑战包括AIMS采用率，以及在选择信息系统支持的合适领域和方法方面存在的困难。
