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Smart Anesthesia Manager™ (SAM)--a real-time decision support system for anesthesia care during surgery
Bala G Nair1, Shu-Fang Newman, Gene N Peterson
1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA 98195, USA. nairbg@uw.edu
IEEE Transactions on Bio-Medical Engineering
|June 28, 2012
Summary
Smart Anesthesia Manager (SAM) enhances anesthesia information management systems (AIMS) by providing real-time clinical and billing support. This system improves compliance, reduces monitoring gaps, and captures additional revenue while minimizing material waste.
Area of Science:
- Anesthesiology
- Health Informatics
- Clinical Decision Support
Background:
- Anesthesia Information Management Systems (AIMS) are crucial for operating room documentation.
- There is a need for enhanced decision support integrated with AIMS to improve care and efficiency.
Purpose of the Study:
- To develop and evaluate Smart Anesthesia Manager (SAM), a system designed to work with AIMS.
- To provide real-time clinical, billing, and compliance decision support to anesthesia providers.
Main Methods:
- SAM was developed to interrogate AIMS databases in near real-time.
- It identifies issues in clinical care, billing, compliance, and material waste.
- Alerts are delivered to providers via pop-up messages or text pages.
Main Results:
- Antibiotic dose compliance improved significantly (e.g., initial dose to 99.3%).
- Beta-blocker protocol compliance increased to 94.6%.
- Blood pressure monitoring gaps reduced by 82%, with substantial financial gains in charge capture and waste reduction.
Conclusions:
- SAM effectively enhances AIMS by providing real-time decision support.
- The system demonstrably improves clinical compliance, operational efficiency, and financial outcomes in anesthesia care.
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