naa a22 4500 510744486 CHVBK 20180411083041.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12630-012-9851-0 doi (NATIONALLICENCE)springer-10.1007/s12630-012-9851-0 Review article: The evolving role of information technology in perioperative patient safety [Elektronische Daten] [Michael Stabile, Lebron Cooper] Article de synthèse: Le rôle en évolution de l'informatique dans la sécurité périopératoire des patients Purpose: The adoption of new technologies in medicine is frequently met with both enthusiasm and resistance. The universal adoption of health information technology (IT) and anesthesia information management systems (AIMS) remains low despite the potential benefits. Electronic medical records, and hence AIMS, are at the intersection of patient safety. This article highlights advantages and barriers to adoption and implementation of IT in general and AIMS in particular, with a focus on clinical decision support systems (CDSS) and computerized physician order entry (CPOE) as hallmarks that may lead to improvement in patient safety and quality in the perioperative setting. Principal findings: The advantages of health IT and AIMS include improved legibility of documentation; the ability to integrate new scientific evidence into practice; enhanced management and exchange of complex health information; the ability to standardize order sets, incorporate computerized physician order entry, and provide clinical decision support; and the ability to capture data for management, research, and quality monitoring and reporting. While not foolproof, AIMS have been shown to improve safety, quality, and patient outcomes. Barriers to the adoption of health IT and AIMS include costs, lack of truly interoperable AIMS components in health-system IT solutions, and lack of clinician involvement in implementation, planning, design, and installation of many IT or AIMS products. Conclusions: Health IT and AIMS are at the intersection of patient safety and technology. Anesthesiologists are perfectly positioned to be the physician leaders of adoption, design, implementation, and integration, not only for AIMS but also for health-system IT solutions in general. Canadian Anesthesiologists' Society, 2012 Stabile Michael Anesthesia Medical Group, PC, Nashville, TN, USA aut Cooper Lebron Department of Anesthesiology, University of Miami Hospital, University of Miami Miller School of Medicine, 1400 NW 12th Avenue, Suite 3155, 33136, Miami, FL, USA aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 119-126 0832-610X 60:2<119 2013 60 12630 https://doi.org/10.1007/s12630-012-9851-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-012-9851-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Stabile Michael Anesthesia Medical Group, PC, Nashville, TN, USA aut NATIONALLICENCE 700 1- Cooper Lebron Department of Anesthesiology, University of Miami Hospital, University of Miami Miller School of Medicine, 1400 NW 12th Avenue, Suite 3155, 33136, Miami, FL, USA aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 119-126 0832-610X 60:2<119 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer