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The changing face of healthcare, along with changing expectations from residents with respect to the quality of education that they receive, has challenged residency programs, to rethink the model that they use and develop new strategies with consideration of the new environment. Furthermore, the volume of information in the medical field is growing exponentially; every year, more than two million...
The latter part of the twentieth century brought the world firmly into the information age. Whereas improved mechanization and industrial technologic development previously drove the economy, now information and related technologies are preeminent. Information technology companies such as Microsoft and Google are now market leaders, joining the ranks of the companies that traditionally prevailed as...
Wireless technology is an integral part of everyday life. Most people commonly think of cellular telephones when they speak of wireless communications, but many other wireless technologies are quickly becoming equally as popular, available, and affordable. The result of this increase in both visibility and popularity is that “wireless” is rapidly becoming a consumer-driven technology. Accompanying...
Electronic generation, transmission, and storage of health data have transformed patient care by making it easy to acquire, search, manipulate, and distribute large amounts of information. An electronic workflow facilitates direct patient care and can be used for purposes such as quality assurance and submission of health insurance claims. Information in the health record is also used for purposes...
Simulation-based education in healthcare owes its origins mainly to the discipline of anesthesia. The practice of anesthesia has often been likened to the dynamic environment of aviation, where the stakes are high and safety is of paramount importance. In recent decades, a number of innovative and forward-thinking individuals have developed the discipline to a point where simulation-based education...
It is a simplification to view simulators as the solution that will address shortcom-ings in education. Simulation is not the end point; it is only a tool that must be one part of a well-considered and well-executed curriculum. This chapter will discuss some of the forces that are shaping how simulation is currently being used and will speculate on how they may impact the ways in which simulation...
The safe, efficient, and coordinated passage of a patient through the surgical and anesthesia experience begins long before the patient arrives at the hospital on the day of surgery. The process actually begins at the time a patient's health concern is recognized and a medical professional concurs that surgery is needed. From that moment forward, hundreds of data elements will be collected by multiple...
Managed care is placing severe financial and organizational pressures on healthcare institutions, while at the same time capitation and competition are limiting resources. In response, institutions are beginning to re-engineer themselves from revenue to cost centers. Research indicates that of the three major clinical service components that comprise the healthcare system (surgical, medical, and mental...
The editors of this book assume that its readers either have recently made the decision to purchase an AIMS or are contemplating a purchase soon. The material presented in this book is intended to be a resource for facilities as they attempt to revise current workflow and behavior to become more facile in their electronic documentation. However, it is reasonable to ask why these systems are important...
No off-the-shelf solution exists for electronic anesthesia record keeping and perioperative information management. Every AIMS is installed in a unique environ ment of equipment and hardware, software and network parameters, interconnected databases, and clinical workflow. Every vendor's AIMS, regardless of how highly developed and mature it is at the time of sale, requires reconfiguration and customiza...
Selecting an AIMS is a complex process that requires careful consideration not only by the anesthesiology department, whose work flow will be dramatically affected by the choice, but also by the IT department of the hospital. In addition, input from stakeholders who use other hospital information systems (e.g., Medical Records, Pharmacy, Lab, Nursing, Biomedical Engineering) should be solicited because...
As the chapter titles of this book imply, use of an AIMS within an anesthesia service affects far more than the intraoperative anesthesia record, although that is the use most visible to clinicians. When implemented well, an AIMS has the potential to positively affect almost every process—clinical and business—related to anesthesia delivery. The opposite is also true. When poorly implemented, an AIMS...
Although the advantages and shortcomings of an AIMS have been debated, in the age of advanced computers, it seems arcane to manually transcribe to a paper form numbers that are displayed on a patient monitor. Potential human errors associated with manual systems include failing to record data due to distraction or forgetfulness, misreading data, and transcribing data incorrectly or illegibly (Fig...
The existing and emerging information technology standards that are of relevance to AIMS are discussed in this chapter. The focus is on the use of standards in the AIMS, both in terms of the persistent storage of data and the import of data from and export to other systems. Although the emphasis is on standards that have direct relevance for the storage and communication of anesthetic data, the broader...
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