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mplementing an electronic system to record health data, results management, and order entry, as well as improve electronic munication, decision support, patient support, administrative processes, and population health management reporting, are slated for pletion by the year 2020. The United States government has also supported an aggressive time line. Will this happen? Or will skeptics still rule the playing field ? Advantages of an AIMS The patient record is extremely important and must be carefully chronicled with every anesthetic procedure. The anesthetic record is used for patient care during anesthesia administration and in the post anesthesia care unit (PACU), the intensive care unit (ICU), and the postsurgical ward. The recorded information is used for billing, tabulating patient statistics, and reviewing previous anesthetic procedures. Finally, advances in quality improvement methods assist in peer review and legal defense. There are many advantages of an AIMS, including (1) capturing data in real time。 (2) alerting the anesthesia provider of deviations from preset physiologic limits。 (3) municating with various patient databases。 and (4) generating an accurate, understandable record at the end of the procedure. In certain instances, the EMR has enabled the identification of missing or incorrect data and thereby led to quality improvement. A study of manual and automated documentation during anesthesia procedures showed that, with an AIMS, % of anesthesia administrations had recorded adverse events versus % of administrations documented manually. Additional advantages of EMRs over manual records include immediate and simultaneous data access for authorized users, error checking, recovery of files from backup sources, definitions of billing and patient care for database entry, and integration of records into a searchable patient database . Table 1 provides example functions of an AIMS. Moreover, an AIMS can overe problems with illegible handwriting and transcription errors. Nevertheless, electronic recordkeeping systems do fail from time to time, although that frequency is not documented. Everyone must be prepared to document manually if the AIMS is unavailable. Table 1. Functions of an anesthesia information management system collection of physiologic data from the operating room in flowsheet format (a timehonored format designed by Harvey Cushing, circa 1900s) functionality provisions for charting for queries and analysis billing analysis to print hard copies (black and white or color。 1 or 2sided pages) signature (., authentication by biometric characteristic or password) data entry, storage, transfer, and access trails and postoperative documentation documentation (., central venous pressure, epidural anesthesia, spinal anesthesia, regional block anesthesia) 本科畢業(yè)設(shè)計(論文)外文翻譯 6 to use in remote areas distant from the operating room (., endoscopy suite, radiology suite, emergency department) integration with other systems in the medical center (or well interfaced) Total integration of an AIMS into the hospital information work Hospital administrators must consid