Tan Jonathan M, Cannesson Maxime, Feldman Jeffrey M, Simpao Allan F, McGrath Susan P, Khanna Ashish K, Beard John W, McGaffigan Patricia, Cole Daniel J
From the Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Keck School of Medicine at the University of Southern California, Los Angeles, California.
Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Anesth Analg. 2025 Jul 1;141(1):139-151. doi: 10.1213/ANE.0000000000007540. Epub 2025 May 7.
Anesthesiology has a longstanding commitment to patient safety, characterized by innovative research, quality improvement, multidisciplinary collaboration, and engineering-based approaches to care systems. The field has been instrumental in advancing technological developments across the perioperative continuum, contributing to the ongoing mission of harm reduction and risk mitigation. However, modern challenges in health care, including increasingly complex patient conditions, workforce shortages, burnout, and the overwhelming volume of health data generated, have created a more urgent and multifaceted landscape for patient safety efforts. Furthermore, with the expanding perioperative continuum, from prehabilitation to postoperative acute care at home, anesthesiology teams must now adapt to a broader role in patient care. To continue enhancing patient safety, anesthesiology must integrate emerging technologies into clinical workflows, scaling their presence and effectiveness. The 2023 Anesthesia Patient Safety Foundation Stoelting Conference highlighted the necessity for anesthesiology to embrace these innovations while recognizing the challenges they pose. Three key technological domains were emphasized: wearables and the Internet of Medical Things; big data and artificial intelligence; and clinical decision support systems coupled with advanced alarm systems. These technologies offer opportunities to improve patient safety but require careful integration into clinical practice. This report explores the potential of these technologies to reshape anesthesiology and perioperative care while focusing on their application across 4 key phases: the preanesthesia phase at home; the intraoperative phase within health systems; postanesthesia recovery; and recovery at home. By leveraging these technologies, anesthesiology can enhance decision-making, improve outcomes, and continue advancing the mission of patient safety in a rapidly evolving health care landscape.
麻醉学长期致力于患者安全，其特点是创新性研究、质量改进、多学科协作以及基于工程学的护理系统方法。该领域在推进围手术期连续过程中的技术发展方面发挥了重要作用，为减少伤害和降低风险的持续使命做出了贡献。然而，医疗保健领域的现代挑战，包括患者病情日益复杂、劳动力短缺、职业倦怠以及产生的海量健康数据，为患者安全工作创造了更加紧迫和多方面的局面。此外，随着围手术期连续过程的扩展，从术前康复到术后居家急性护理，麻醉团队现在必须适应在患者护理中发挥更广泛的作用。为了持续提高患者安全，麻醉学必须将新兴技术融入临床工作流程，扩大其应用范围并提高其有效性。2023年麻醉患者安全基金会斯托尔廷会议强调了麻醉学接受这些创新的必要性，同时认识到它们带来的挑战。会议强调了三个关键技术领域：可穿戴设备和医疗物联网；大数据和人工智能；以及与先进警报系统相结合的临床决策支持系统。这些技术为提高患者安全提供了机会，但需要谨慎地融入临床实践。本报告探讨了这些技术重塑麻醉学和围手术期护理的潜力，同时重点关注它们在四个关键阶段的应用：在家中的麻醉前阶段；医疗系统内的术中阶段；麻醉后恢复；以及在家中恢复。通过利用这些技术，麻醉学可以加强决策制定、改善治疗效果，并在快速发展的医疗保健领域继续推进患者安全使命。
