Computerized Anaesthesia Information Management Systems:

1
Computerized Anaesthesia Information Management
Systems

• Are we on the threshold of widespread use?
• Martin Gardner, Current Opinion in
  Anesthesiology, Dec. 2001

2
Why arent AIMS widely adopted?

• Most focus on Peri-operative data capture
• Pre-operative and post-operative assessment
  continue to be tasks least well supported.
• Pre- and post-operative information is crucial
  for case management, auditing, governance, and
  research.
• Pre- and post-operative information is the most
  paper intensive process.
• Little proof of outcomes improvement, but
  convincing evidence that working with a computer
  system will be slower than paper.

3
What are the limitations of AIMS?

• Inadequate Vertical Integration
• Limited Mobility
• Lack of Standards
• Inadequate Horizontal Integration
• Lack of perceived benefit to immediate users.

4
Developments since publication

• Wireless local area networks are now a more
  mature technology and are beginning to become
  standard in enterprise environment.
• Handheld and Tablet devices can not allow pre and
  post operative data collection at the bedside.
• Extensible Mark-up Language (XML) provide an
  easier way to integrate AIMS with other clinical
  systems.
• Extensible Mark-Language (XML) provides a
  flexible schema for developing open standards for
  AIMS.