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向下一個獨立的區(qū)域精細的傳遞,比如說,進行超聲心電圖之后,該超聲心電圖就會立即獲得,而診斷出該患者是否需要治療。在任何時刻,類似于麻醉提供者應(yīng)該 能能夠提供實驗數(shù)據(jù),咨詢,肺功能試驗結(jié)果和他的病史。 第二,當與維護界面系統(tǒng)相比,用于集成化系統(tǒng)的資源會減少。因為為了保持整 個系統(tǒng)的運行正常,信息管理組會與任務(wù)聯(lián)合起來。否則,每個專用系統(tǒng)將需要 尋求產(chǎn)品技術(shù)專家取得幫助。就擁有關(guān)鍵使命功能的高級集成維護管理系統(tǒng)來說 ,需要技術(shù)緩助人員 24 小時可提供服務(wù),而這將會導致工作人員的花費巨大。 第三,如果一個完全集成的醫(yī)療制度有一個大型醫(yī)學信息供應(yīng)商的支持下,未來的升級和改進,可以合理地得到保證。一些供應(yīng)商提供的實時數(shù)據(jù)采集,應(yīng)結(jié)合醫(yī)院信息系統(tǒng)等方面,但是很多 廠商沒有。然而,把不懂的廠商的產(chǎn)品用到一個nonintegrated 系統(tǒng),升級可能不可能或者很困難。例如,手術(shù)室設(shè)備(例如,一個系統(tǒng),用以記錄和查看無線電研究或食管超聲心動圖的圖形圖像)新收購的一塊可能只是部分支持一家公司將其監(jiān)測系統(tǒng)集成。 AIMS 供應(yīng)商將創(chuàng)建一個驅(qū)動程序來幫助你理解這個裝置記錄的數(shù)據(jù)或?qū)霐?shù)據(jù)。確保及時獲得數(shù)據(jù)是一個問題,但是這些問題都可以通過網(wǎng)絡(luò)共享數(shù)據(jù)的范圍內(nèi)解決,這只是一些基礎(chǔ)。網(wǎng)絡(luò)目前都設(shè)計有一個千兆的網(wǎng)絡(luò)帶寬,以確保數(shù)據(jù)的訪問不是由他人信息檢索損害。超聲心動圖和其他放射學的研 究都可以通過一個單獨的網(wǎng)絡(luò)骨干。在這倆集成平臺和接口平臺中,一個有 AIMS 的高帶寬網(wǎng)絡(luò)能使數(shù)據(jù)不管在哪里傳輸都不會被中斷 . 第四,一個完全集成系統(tǒng)提供分析如何適應(yīng)麻醉和手術(shù)的醫(yī)療中心的總?cè)蝿?wù)的過程。數(shù)據(jù)基準能被建立,并能決定成本和所需資源。對醫(yī)療保健服務(wù)的全過程都可以進行分析,這些數(shù)據(jù)可以提供給國家元首和政府監(jiān)管機構(gòu)或第三方支付者(如保險公司)。然而,麻醉部門往往是害怕和擔心這些數(shù)據(jù)可能被用來引起潛在的懲罰性成果。不過,在今天的高價醫(yī)療環(huán)境里,如果不能提供這些重要的數(shù)據(jù),問題解決方案將最終從管理員和對麻醉 過程沒有多少知識的首席執(zhí)行官產(chǎn)生。 1 原文: The anesthesia information management system for electronicdocumentation: what are we waiting for? ERIC L AIMS and reasons for its use For many hospital administrators and chief executive officers, the operating room is a black box. Patients may have mon diagnoses and undergo mon surgical procedures, but they often have diverse outes and different costs associated with their care. The reasons for the disparity are often multifaceted and not well defined. The current medical records system lacks the ability to define and pare outliers, thereby hindering analysis. Furthermore, many medical centers must maintain the high level of care in their practices without effecting change (operating at fixed costs), while reimbursement continually decreases relative to inflation (capitated markets). An AIMS potentially can bridge this economic gap by providing critical data useful for scheduling, operating room use, material management, and improved use of resources in a declining reimbursement environment. The electronic revolution enters this environment. As a medical specialty, anesthesia has always embraced new technologies, such as the automated blood pressure cuff, invasive monitoring, and monitors that record physiologic trends. Early anesthesia recordkeepers were able to obtain data from monitors, and anesthesiologists were able to create an electronic record instead of a paper record. The layout of the electronic record was similar to that of the customary paper record,thereby providing a format that was familiar to the Anesthesiologist. With an AIMS, in addition to physiologic data, other information such as surgical time, cost of medication, resources used, and quality assurance data can be recorded. Many departments have described their experiences with these systems and reported the corresponding costefficiencies that resulted from electronic data collation and the use of a simulation model. Moreover, electronic systems can search for patient allergies or identify improper drug dosages or contraindications. The system can verify provider attendance during procedures, as required by the Health Care Financing Administration in the United States. In addition, some systems (institutionally or mercially developed) offer a preoperative