Saunders R J
Cedars-Sinai Medical Center, Los Angeles, CA 90048.
J Clin Monit. 1994 Sep;10(5):346-8. doi: 10.1007/BF01617770.
This team's concern is that technology is not the primary limitation to developing the anesthesia workstation to its full potential. In some ways, medical equipment lags far behind other industries in technological sophistication, standardization, miniaturization, and human factors engineering. Real obstacles appear to be economic and conceptual. The anesthetic process has not been reduced to a series of rigorously derived equations; what the user does is still poorly understood. Manufacturers whose design engineers do not spend a significant part of their work week in the operating room seem to be so ignorant of the real needs of the clinician that their products are doomed to fail or to be mediocre. Clinicians need to encourage their industrial counterparts in the development process to become partners in developing the anesthesia systems of the future. Progress can only be made by having clinicians and developers spend time with one another. Can this inconvenient and frustrating process possibly be worse than the everyday torment caused by manufacturers building what the clinicians do not need, because the clinicians cannot tell them?
该团队担心的是,技术并非充分发挥麻醉工作站潜力的主要限制因素。在某些方面,医疗设备在技术复杂性、标准化、小型化和人因工程方面远远落后于其他行业。真正的障碍似乎是经济和观念方面的。麻醉过程尚未简化为一系列严格推导的方程式;用户的操作仍未得到充分理解。那些设计工程师每周没有在手术室花费大量时间的制造商,似乎对临床医生的实际需求一无所知,以至于他们的产品注定会失败或表现平平。临床医生需要在开发过程中鼓励他们的行业同行成为未来麻醉系统开发的合作伙伴。只有临床医生和开发者相互交流才能取得进展。难道这个不便且令人沮丧的过程会比制造商生产临床医生不需要的东西所带来的日常困扰更糟糕吗?毕竟临床医生无法告知他们需求。