Coleman R L, Sanderson I C, Lubarsky D A
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
CRNA. 1997 May;8(2):77-83.
Anesthesia information management systems (AIMS) have uses that extend far beyond automatic anesthesia record-keeping. After initial experience with the development of monitoring technology, the Department of Anesthesiology at Duke University Medical Center, Durham, North Carolina, began the installation of the Arkive anesthesia information management system in 1987. The system was installed hospital-wide in 1992. AIMS played an integral role in determining the cost of pharmaceutical agents used during an anesthetic procedure. Clinicians targeted areas of high cost in which anesthetic practice could be modified. Establishment of an educational program followed by the institution of practice guidelines allowed for an annualized savings of more than $900,000 on drug costs with no effect on the quality of care provided. Future generations of AIMS need to be more fully integrated into hospital information management systems.
麻醉信息管理系统（AIMS）的用途远不止于自动麻醉记录保存。在经历了监测技术开发的初步经验后，位于北卡罗来纳州达勒姆的杜克大学医学中心麻醉科于1987年开始安装Arkive麻醉信息管理系统。该系统于1992年在全院范围内安装。AIMS在确定麻醉过程中使用的药物制剂成本方面发挥了不可或缺的作用。临床医生将目标对准了高成本领域，在这些领域可以改变麻醉实践。在制定实践指南后建立教育计划，使得每年在药品成本上节省超过90万美元，同时对所提供的护理质量没有影响。未来几代的AIMS需要更全面地集成到医院信息管理系统中。
