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Patient data management systems in anaesthesia: an emerging technology
Y G Weiss1, S Cotev, B Drenger
1Department of Anaesthesiology/Critical Care Medicine, Hebrew University, Hadassah School of Medicine, Jerusalem, Israel.
Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|October 1, 1995
Summary
No current patient data management systems (PDMS) meet all ideal expectations for anesthesia workstations. A gradual, multi-year integration approach is recommended for future OR environments.
Area of Science:
- Anesthesiology
- Medical Informatics
Background:
- Operating room (OR) suites require efficient patient data management.
- Current systems have limitations in integrating diverse medical devices and hospital networks.
Purpose of the Study:
- To define the ideal expectations for an on-line automatic patient data management system (PDMS) for anesthesia workstations.
- To evaluate commercially available PDMS against these defined expectations.
Main Methods:
- Literature review of medical data management systems.
- Evaluation of three commercial patient data management systems (Informatics, Datex, North American Drager).
Main Results:
- No evaluated PDMS fully met all desired functionalities.
- Ideal PDMS should integrate with OR equipment, alert anesthesiologists to deviations, connect to hospital mainframes, and auto-generate anesthesia records.
Conclusions:
- A phased, 2-5 year introduction of PDMS into ORs is proposed.
- Future PDMS upgrades should incorporate algorithm-based decision support.
- Continuous improvement and integration are key for optimal OR data management.