A survey of anesthesiologists’ and nurses’ attitudes toward the implementation of an Anesthesia Information Management System on a labor and delivery floor

Beilin, Yaakov; Wax, David B.; Torrillo, Toni M.; Mungall, D.; Guinn, Nancy; Henriquez, J.; Reich, David L.

doi:10.1016/j.ijoa.2008.05.007

Cited by 11 publications

(6 citation statements)

References 22 publications

(15 reference statements)

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“…Our questionnaire sheet was designed to compare the subjective feeling among different types of surgeries, according to previous studies [1,2,6,9]. Compared to lengthy surgeries which lasted > 30 min, and complicated cases which have more anesthetic concerns, subjective feelings of dissatisfaction with use of AIMS during short duration and simple surgeries were demonstrated in the current survey.…”

Section: Discussionmentioning

confidence: 99%

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A survey of user acceptance of electronic patient anesthesia records

Jin

Kim

Lee

et al. 2012

Korean J Anesthesiol

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BackgroundAn anesthesia information management system (AIMS), although not widely used in Korea, will eventually replace handwritten records. This hospital began using AIMS in April 2010. The purpose of this study was to evaluate users' attitudes concerning AIMS and to compare them with manual documentation in the operating room (OR).MethodsA structured questionnaire focused on satisfaction with electronic anesthetic records and comparison with handwritten anesthesia records was administered to anesthesiologists, trainees, and nurses during February 2011 and the responses were collected anonymously during March 2011.ResultsA total of 28 anesthesiologists, 27 trainees, and 47 nurses responded to this survey. Most participants involved in this survey were satisfied with AIMS (96.3%, 82.2%, and 89.3% of trainees, anesthesiologists, and nurses, respectively) and preferred AIMS over handwritten anesthesia records in 96.3%, 71.4%, and 97.9% of trainees, anesthesiologists, and nurses, respectively. However, there were also criticisms of AIMS related to user-discomfort during short, simple or emergency surgeries, doubtful legal status, and inconvenient placement of the system.ConclusionsOverall, most of the anesthetic practitioners in this hospital quickly accepted and prefer AIMS over the handwritten anesthetic records in the OR.

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Section: Discussionmentioning

confidence: 99%

“…Questions for this survey were developed in line with previous studies [1,2,6,9]. The first section of the current survey was composed of 16 questions concerning degree of satisfaction with AIMS for attending and resident anesthesiologists, and 11 questions for nurses who worked in the department of anesthesiology.…”

Section: Methodsmentioning

confidence: 99%

A survey of user acceptance of electronic patient anesthesia records

Jin

Kim

Lee

et al. 2012

Korean J Anesthesiol

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“…It has been observed that once the anaesthesiologists become friendly with AIMS, they do not want to revert to manual systems. [910] The comparison of AIMS with handwritten record has established the superiority of AIMS over the manual entries as the former saved lot of time, recorded larger data and yielded only fewer illegible entries. [11]…”

Section: Switching Over To Electronic Record Keeping and Aimsmentioning

confidence: 99%

Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists

Bajwa¹

2014

Indian J Anaesth

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Over the years, traditional anaesthesia record keeping system has been the backbone of anaesthesiology ever since its introduction in the 1890s by Dr. Harvey Cushing and Dr. Ernest A. Codman. Besides providing the important information regarding patients’ vital physiologic parameters, paper records had been a reliable source for various clinical research activities. The introduction of electronic monitoring gadgets and electronic record keeping systems has revolutionised the anaesthesiology practice to a large extent. Recently, the introduction of anaesthesia information management system (AIMS), which incorporates all the features of monitoring gadgets, such as electronic storage of large accurate data, quality assurance in anaesthesia, enhancing patient safety, ensuring legal protection, improved billing services and effecting an organisational change, is almost a revolution in modern-day anaesthesiology practice. The clinical research activities that are responsible for taking anaesthesiology discipline to higher peaks have also been boosted by the amalgamation of AIMS, enabling multicenter studies and sharing of clinical data. Barring few concerns in its installation, cost factors and functional aspects, the future of AIMS seems to be bright and will definitely prove to be a boon for modern-day anaesthesiology practice.

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“…5 Another study concluded that missing or erroneous data occurred more frequently in handwritten records, especially during the first 15 minutes and last 10 minutes of a case, when greater attention to patient care is typically required which detracts from attention to documentation. [10][11][12][13] Overall, the improvement realized after AIMS implementation is supported by several surveys that showed that the majority of users, both in OR and obstetric settings, were satisfied with their AIMS and would not want to return to a completely manual system. 7 AIMS records are still imperfect.…”

Section: Improving Clinical Documentationmentioning

confidence: 99%

The Basics of Anesthesia Information Management Systems

Reich¹,

Levin²,

Wax³

2010

ASA Refresher Courses in Anesthesiology

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HOW TO CHOOSE AN ANESTHESIA INFORMATION MANAGEMENT SYSTEMThere are many commercial products that are marketed as anesthesia information management systems (AIMS) in the United States (US) and worldwide. The overwhelming majority of anesthesiology departments who use AIMS choose commercial products, although a small number have chosen custom programming solutions. Despite incentives to adopt electronic health records and their various benefits, there was low penetration into the US market in a recent survey (o 10% of academic anesthesia practices in 2007). Adoption by smaller anesthesia practices is likely much lower. When surveyed as to why an AIMS had not been adopted, commonly cited reasons were cost, perceived medicolegal risk, and inertia. 1 Considering the low current use and the changing US healthcare environment, it is likely that many anesthesiology departments will be implementing AIMS in the near future.A detailed summary of the process of choosing and implementing an AIMS was the subject of a recent multicenter publication by Muravchick et al. 2 With some alteration, the process is described in Supplemental Digital Content 1, http://links.lww.com/ASA/A30. HOW TO USE AN AIMS Educating and Converting Skeptical Clinicians to Dedicated UsersPeople are often resistant to change, and an AIMS represents a substantial change compared with a manual anesthetic record. This is why one of the most important components of a successful AIMS is a local champion who is both motivated and empowered to overcome the many organizational and technical barriers to AIMS implementation. Such effort is rewarded, however, as clinicians eventually acknowledge that an AIMS improves the quality of their practice and rarely ask to switch back to manual/handwritten anesthesia records. 2 The medicolegal fears about AIMS arise from concern that data that would have been omitted from a handwritten record are automatically recorded in an AIMS one, even if it is factitious/artifactual or transient. A survey addressing this issue, however, showed that AIMS records either had a beneficial effect, or no effect, on outcomes of malpractice cases. No cases were hindered by the AIMS record and the majority of respondents would recommend an AIMS as part of a risk management strategy. 3 However, at least one case has been reported where a monitoring gap in an AIMS record caused by a technical failure, combined with additional data, showed that an attestation about the presence of an attending anesthesiologist at the time of extubation was entered before that event. This information was used to discredit the anesthesiologist and led to a settlement. The group's AIMS software was later modified to show an alert when the data stream from patient monitors is unexpectedly missing, and they also created a reporting system that discouraged premature attestations. 4 Improving Clinical DocumentationSeveral investigators have assessed the impact of an AIMS on the quality of clinical documentation. One study comparing AIMS-produced records to completely man...

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A survey of anesthesiologists’ and nurses’ attitudes toward the implementation of an Anesthesia Information Management System on a labor and delivery floor

Cited by 11 publications

References 22 publications

A survey of user acceptance of electronic patient anesthesia records

A survey of user acceptance of electronic patient anesthesia records

Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists

The Basics of Anesthesia Information Management Systems

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