title: Real-time alerts and reminders using information systems.
abstract: Adoption of information systems throughout the hospital environment has enabled the development of real-time physiologic alerts and clinician reminder systems. These clinical tools can be made available through the deployment of anesthesia information management systems (AIMS). Creating usable alert systems requires understanding of technical considerations. Various successful implementations are reviewed, encompassing cost reduction, improved revenue capture, timely antibiotic administration, and postoperative nausea and vomiting prophylaxis. Challenges to the widespread use of real-time alerts and reminders include AIMS adoption rates and the difficulty in choosing appropriate areas and approaches for information systems support.
authors.affiliation: Massachusetts General Hospital, Boston, MA, USA. jwanderer@partners.org
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Wanderer
authors.forename: Warren S
authors.initials: WS
authors.lastname: Sandberg
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Ehrenfeld
mesh_terms: D000776:Anesthesiology / Q000191:economics / Q000295:instrumentation*; D000777:Anesthetics / Q000008:administration & dosage; D002315:Cardiopulmonary Bypass / Q000379:methods; D056902:Clinical Alarms; D003199:Computer Systems; D020000:Decision Support Systems, Clinical; D006801:Humans; D007256:Information Systems; D020250:Postoperative Nausea and Vomiting / Q000628:therapy; D012015:Reference Standards; D017010:Reminder Systems
chemical_list: D000777:Anesthetics