title: Shortcomings and challenges of information system adoption.
abstract: The number of institutions implementing AIMS is increasing. Shortcomings in the design and implementation of EMRs have been associated with unanticipated consequences, including changes in workflow. These have often resulted from the carryover of paper-based documentation practices into an electronic environment. The new generation of mobile devices allows providers to have situational awareness of multiple care sites simultaneously, possibly allowing for improved proactive decision making. Although potentially facilitating safer anesthetic supervision, technologic and cultural barriers remain. Security, quality of information delivery, regulatory issues, and return on investment will continue as challenges in implementing and maintaining this new technology.
authors.affiliation: Center for Informatics and Perioperative Management, University of Miami Health System, University of Miami Miller School of Medicine, FL 33136, USA. mvigoda@med.miami.edu
authors.forename: Michael M
authors.initials: MM
authors.lastname: Vigoda
authors.forename: Brian
authors.initials: B
authors.lastname: Rothman
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Green
mesh_terms: D000776:Anesthesiology / Q000458:organization & administration* / Q000639:trends; D016494:Computer Security; D003201:Computers; D003365:Costs and Cost Analysis; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D019451:Information Management / Q000458:organization & administration; D007256:Information Systems / Q000191:economics / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized; D015279:Organizational Culture; D014481:United States