Page 27 - Part 1 Anesthesiology Common Risk Issues
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SVMIC Anesthesiology: Common Risk Issues


                   FUNDAMENTALS: INTRA-OPERATIVE


                     Ensure there is detailed documentation reflecting the intra-
                     operative anesthesia management and patient monitoring

                     of:

                         •  Emergency response and interventions

                         •  Maneuvers utilized for managing a difficult airway

                         •  Position and padding


                         •  Time-outs

                         •  Presence of an anesthesiologist during key
                            portions of the procedure








                   Anesthesia Information Management Systems

                   Anesthesia Information Management Systems (AIMS)
                                                                                             10
                   are in use in many hospitals and facilities. This technology

                   allows the automatic and reliable collection, storage, and
                   presentation of patient data during the perioperative period.

                   They are specialized forms of EHR systems that, in addition
                   to providing basic record-keeping functions, typically provide

                   end users with ready access to summary data that can be used
                   to facilitate quality assurance and research functions. Most

                   AIMS systems will have an Anesthesia Preoperative Evaluation
                   System, Anesthesia Consent, an Intraoperative Anesthesia

                   Recordkeeping System, an Anesthesia Postoperative Evaluation,
                   and an Administration Web Interface. A typical AIMS installation

                   will be a hardware/software solution that interfaces with the
                   intraoperative patient monitors. Increasingly, these systems also

                   have the ability to read and write data from the main hospital




                   10  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387486/

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