Abstract
BackgroundThis paper describes the design of a multifunction alerting display for intraoperative anesthetic care. The design was inspired by the multifunction primary flight display used in modern aviation.ResultsThe display retrieves live data from multiple sources; the physiologic monitors, the anesthesia information management system, the laboratory values and comorbidities from patient’s problem summary list, medical history or history & physical. This information is integrated into a display composed of readily identifiable icons of organ systems, which are color coded to signify normal range, marginal range, abnormal range (by green, yellow, red respectively) and orange outlines for comorbidities/risk factors. There are dozens of text alerts, which can be presented as black text (informational), red text (important information) and red scrolling text (highest importance information). The alerts are derived from current standards in the literature and some involve complex calculations being conducted in the background.ConclusionsThe goal of such a system is to improve the quality and safety of anesthetic care by providing enhanced situational awareness in a fashion analogous to the “glass cockpit” and its primary flight display which has improved aviation safety.
Highlights
This paper describes the design of a multifunction alerting display for intraoperative anesthetic care
With the broad implementation of the electronic medical record systems, which for anesthesiologists is known as the Anesthesia Information Management System (AIMS), anesthesiologists may manage live digital data provided continuously and permanently stored
Census view AlertWatch® opens to a view of the operating room (OR) census
Summary
This paper describes the design of a multifunction alerting display for intraoperative anesthetic care. The aviation industry has led all industries in the area of safety and quality [1] They have led in the design of the cockpit from an increasing array of analog dials presenting data from an increasing number of sensors, to a more functional and intuitive display known as the multifunctional display or “glass cockpit [2].”. The proliferation of AIMS and other structured electronic medical record (EMR) systems, which include patient co-morbidities and outcomes in addition to intraoperative data, has resulted in a proliferation of observational studies finding associations between types of intraoperative care and postoperative outcomes [6,7,8,9,10,11,12,13] The results of these studies may be applied in real-time during anesthesia care, but only if the information is made available to the provider at the time it is appropriate. But not limited to, glucose, blood pressure, ventilation and overall fluid management which can be assisted by live calculations and live alerts [6,7,8,9,10,11,12,13]
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