Book, Multimedia, and Meeting Reviews: Media Reviews
At the 2010 Annual Meeting of the Society for Technology in Anesthesia, challenges facing the medical informatics community in implementing electronic health record systems were addressed. Specifically,
- The difficulty of implementing electronic record systems when ongoing clinical activities cannot be halted were aptly explained using the following analogy: “It's a bit like changing the engine of a car with the car still running.”
- The size of an institution does not necessarily dictate technology requirements.
- Large and small institutions often vary significantly in terms of the organization of their bureaucracy, their degree of nimbleness, the accessibility of their upper management, and the flexibility of their budget process.
- Differences in technological requirements arise in private practice settings as opposed to academic practice.
- Telemonitoring has potential to improve health care delivery in both conventional and remote settings.
Anesthesia information management systems can be used to satisfy The Joint Commission requirements for ongoing practice professional evaluations. Although occasional artifacts can sometimes be a problem, anesthesia information management systems have considerable potential both as a risk management tool and as a means of documenting that excellent care was provided.
The 45 poster presentations described interfacing IV pumps, anesthesia machines and patient monitors to hospital information systems, use of the iPhone to view the anesthesia record remotely, utilization of data from an automatic anesthesia record-keeping system for physician credentialing, using small variations in the pressure inside an air bladder to measure respiratory rate, and using transcutaneous measurement of carbon dioxide tension for noninvasive respiratory monitoring.
Awards were given for the Best Clinical Use of Technology (“Turning an iPhone into an All-in-One Device—Two Approaches” by Brian Rothman, MD, Vanderbilt University Medical Center, TN) and the Best New Technical Innovation (“The Log–Log Electroencephalogram Spectrogram as a Measure of Anesthetic Depth” by Christopher Scheib, MD, CMS Anesthesia Services, Nicholasvi, KY). Two Honorable Mention awards were given for “Paperless Solutions for an Academic Anesthesia Department” (by Marina Krol, PhD, Mount Sinai School of Medicine, NY) and “Successful Use of a Novel Format of Postoperative Ward Monitoring (by Mary Jeskey, RN, Damon Michaels, BS, Neal Sanders, PhD, and Paul St. Jacques, MD, Vanderbilt University School of Medicine, TN).
The 2011 meeting was held January 12 to 15, 2011, at The Venetian Hotel in Las Vegas, NV. A special focus of this meeting was noninvasive patient monitoring.
D. John Doyle, MD, PhD
Cleveland Clinic Lerner College of Medicine
Case Western Reserve University
Cleveland Clinic, Cleveland, OH