Vigoda Michael M, Rothman Brian, Green Jeffrey A
Center for Informatics and Perioperative Management, University of Miami Health System, University of Miami Miller School of Medicine, FL 33136, USA.
Anesthesiol Clin. 2011 Sep;29(3):397-412. doi: 10.1016/j.anclin.2011.05.010.
The number of institutions implementing AIMS is increasing. Shortcomings in the design and implementation of EMRs have been associated with unanticipated consequences, including changes in workflow. These have often resulted from the carryover of paper-based documentation practices into an electronic environment. The new generation of mobile devices allows providers to have situational awareness of multiple care sites simultaneously, possibly allowing for improved proactive decision making. Although potentially facilitating safer anesthetic supervision, technologic and cultural barriers remain. Security, quality of information delivery, regulatory issues, and return on investment will continue as challenges in implementing and maintaining this new technology.
实施麻醉信息管理系统（AIMS）的机构数量正在增加。电子病历（EMR）设计与实施中的缺陷与意外后果相关，包括工作流程的改变。这些往往是由于纸质文档操作习惯延续到电子环境中所致。新一代移动设备使医疗服务提供者能够同时对多个护理地点具备态势感知，这可能有助于改进主动决策。尽管可能促进更安全的麻醉监测，但技术和文化障碍依然存在。安全、信息传递质量、监管问题以及投资回报率仍将是实施和维护这项新技术面临的挑战。
