Will we see automated record keeping systems in common use in anesthesia during our lifetime? The automated anesthetic record will not automatically solve problems in record keeping.
The proponents of automated anesthetic records list the ostensibly logical reasons for them and then claim that automated records will make everything better. The logic goes as follows: (1) It is good to have accurate records because accurate records (a) make clinical decision making more effective and improve patient safety, (b) provide better defense against frivolous lawsuits, and (c) enable more astute medical policy decisions based on improved retrospective case reviews; (2) automatic record-keeping systems will give more nearly accurate records; (3) therefore, quality of care will improve if we acquire automatic record-keeping systems. This logic fails on several counts, which are detailed in this essay. Having said all this, however, I do believe that automated record systems will be implemented and they will be extremely useful, both for the patient and for those who care for the patient. However, we must exercise great care in their design and implementation, lest they wind up doing more harm than good.
Saunders
R J
RJ
Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA 90048.
D000758:Anesthesia; D003199:Computer Systems; D003657:Decision Making; D005568:Forms and Records Control; D006801:Humans; D016347:Medical Records Systems, Computerized; D009870:Operating Room Information Systems; D011050:Policy Making; D011787:Quality of Health Care