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Implementation of an Anesthesia Information Management System in an Ambulatory Surgery Center.
- Source :
- Journal of Medical Systems; Jan2016, Vol. 40 Issue 1, p1-8, 8p
- Publication Year :
- 2016
-
Abstract
- Anesthesia information management systems (AIMS) are increasingly being implemented throughout the United States. However, little information exists on the implementation process for AIMS within ambulatory surgery centers (ASC). The objectives of this descriptive study are to document: 1) the phases of implementation of an AIMS at an ASC; and 2) lessons learnt from a socio-technical perspective. The ASC, within the Veterans Health Administration (VHA), has hosted an AIMS since 2008. As a quality improvement effort, we implemented a new version of the AIMS. This new version involved fundamental software changes to enhance clinical care such as real-time importing of laboratory data and total hardware exchange. The pre-implementation phase involved coordinated preparation over six months between multiple informatics teams along with local leadership. During this time, we conducted component, integration, and validation testing to ensure correct data flow from medical devices to AIMS and centralized databases. The implementation phase occurred in September 2014 over three days and was successful. Over the next several months, during post-implementation phase, we addressed residual items like latency of the application. Important lessons learnt from the implementation included the utility of partnering early with executive leadership; ensuring end user acceptance of new clinical workflow; continuous testing of data flow; use of a staged rollout; and providing additional personnel throughout implementation. Implementation of an AIMS at an ASC can utilize methods developed for large hospitals. However, issues unique to an ASC such as limited number of support personnel and distinctive workflows must be considered. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANESTHESIA
COMPUTER science
COMPUTER software
DATABASE management
DATABASES
DOCUMENTATION
HEALTH facility administration
HEALTH services administrators
INFORMATION resources management
INFORMATION science
INFORMATION storage & retrieval systems
MEDICAL information storage & retrieval systems
INTERPROFESSIONAL relations
RESEARCH methodology
QUALITY assurance
SURGICAL clinics
HUMAN services programs
EVALUATION of human services programs
ELECTRONIC health records
Subjects
Details
- Language :
- English
- ISSN :
- 01485598
- Volume :
- 40
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Medical Systems
- Publication Type :
- Academic Journal
- Accession number :
- 115925219
- Full Text :
- https://doi.org/10.1007/s10916-015-0390-4