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Research ArticleArticles

Implementation of an Anesthesia Information Management System (AIMS)

James R. Douglas and Melody J. Ritter
Ochsner Journal June 2011, 11 (2) 102-114;
James R. Douglas Jr
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA
MD, PhD
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  • For correspondence: jdouglas@ochsner.org
Melody J. Ritter
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA
MD
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  • Article
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Article Figures & Data

Figures

  • Figure 1
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    Figure 1

    Manually charted anesthesia record.

  • Figure 2
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    Figure 2

    Graph/grid anesthesia information management system electronic anesthesia record.

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    Figure 3

    Narrative commentary report from anesthesia information management system electronic anesthesia record.

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    Figure 4

    Anesthesia information management system modules within DocuSys. Components below the horizontal line were part of the initial implementation. Items above the line were not initially implemented because they were in the final stages of product integration by the vendor.

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    Figure 5

    Diagram of Ochsner local area network. PACU, postanesthesia care unit; OR, operating room.

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    Figure 6

    Integration of patient and equipment data sources by the anesthesia information management system using DataCaptor as the translation software.

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    Figure 7

    Typical anesthesia workstation including (1) DocuSys computer, (2) DocuSys touch-screen liquid crystal display monitor and keyboard, (3) Bluetooth barcode scanner, (4) physiologic monitor display, (5) anesthesia machine display, (6) movable boom containing outlets for anesthesia gases and network connection, and (7) the Pyxis machine.

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    Figure 8

    Multiple cables at the back of the DocuSys computer.

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    Figure 9

    Anesthesia information management system (AIMS) implementation workflow strategy.

  • Figure 10
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    Figure 10

    Anesthesia record as displayed on liquid crystal display monitor. Note scroll bars and expanded content on the commentary at 08:46 as cursor hovers over it.

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    Figure 11

    Content of buttons on (a) surgery intraoperative tab, (b) surgery postoperative tab, (c) administrative tab, and (d) miscellaneous tab (used to access Ochsner Health System intranet and internet).

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    Figure 12

    DocuNote screen with drop-down box showing selection choices for mask ventilation.

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    Figure 13

    Wireless Bluetooth barcode scanner and barcode anesthesia drug quickpick list.

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    Figure 14

    Performance measure showing the use of end tidal carbon dioxide (ETCO2) to monitor airway ventilation after induction of anesthesia.

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Ochsner Journal
Vol. 11, Issue 2
Jun 2011
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Implementation of an Anesthesia Information Management System (AIMS)
James R. Douglas, Melody J. Ritter
Ochsner Journal Jun 2011, 11 (2) 102-114;

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Implementation of an Anesthesia Information Management System (AIMS)
James R. Douglas, Melody J. Ritter
Ochsner Journal Jun 2011, 11 (2) 102-114;
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Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • WHAT IS AN AIMS, AND WHAT VALUE DOES IT SERVE?
    • PRODUCT SELECTION
    • IMPLEMENTATION
    • OPERATIONAL ISSUES
    • ACCEPTANCE
    • BENEFITS OF THE AIMS SYSTEM
    • EXPECTATIONS MET AND EXPECTATIONS YET TO BE FULFILLED
    • SELECTED READINGS
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

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Keywords

  • Anesthesia
  • electronic medical record
  • informatics

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