Anaesthesia information management systems in the Czech Republic – Are they still just a calling of the future?

Authors: J. Bruthans 1,2
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze 1;  Katedra biomedicínského inženýrství, Fakulta biomedicínského inženýrství, České vysoké učení technické v Praze 2
Published in: Anest. intenziv. Med., 30, 2019, č. 1, s. 3-8


Anaesthesia information management system (AIMS) offers a wide range of benefits – automated record keeping, improved pre- and postoperative care and usage of clinical decision systems. Concerns about legal issues when using AIMS have not been proven. Although at least ten per cent of tertiary anaesthesia departments use some kind of AIMS in the developed countries, only three pilot implementation projects from different suppliers are in progress in the Czech Republic.


anaesthesia – information systems – equipment – medical records


1. Sundararaman LV, Desai SP. The Anesthesia Records of Harvey Cushing and Ernest Codman. Anesth Analg. 2018;126:322–329. doi:10.1213/ANE.0000000000002576.

2. Piepenbrink JC, Cullen JI, Stafford TJ. A real-time anesthesia record keeping system using video. J Clin Eng .1990;15:391–393.

3. Daub D, Destunis S, Halbach M, et al. First experiences with a documentation system via display terminals. Acta Anaesthesiol Belg. 1975;23 Suppl:200–4.

4. Stonemetz J. Anesthesia Information Management Systems Marketplace and Current Vendors. Anesthesiol Clin. 2011;29:367–375. doi:10.1016/j.anclin.2011.05.009.

5. Current Edition – DICOM Standard 2018. (accessed October 2, 2018).

6. Douglas JR, Ritter MJ. Implementation of an Anesthesia Information Management System (AIMS). Ochsner J. 2011;11:102–114.

7. Edsall DW, Deshane P, Giles C, et al. Computerized patient anesthesia records: less time and better quality than manually produced anesthesia records. J Clin Anesth. 1993;5:275–283.

8. Devitt JH, Rapanos T, Kurrek M, et al. The anesthetic record: accuracy and completeness. Can J Anesth Can Anesth. 1999;46:122–128. doi:10.1007/BF03012545.

9. Reich DL, Wood RK, Mattar R, et al. Arterial Blood Pressure and Heart Rate Discrepancies Between Handwritten and Computerized Anesthesia Records. Anesth Analg. 2000;91:612–616. doi:10.1213/00000539-200009000-00022.

10. Phelps M, Latif A, Thomsen R, et al. Comparison of minute distribution frequency for anesthesia start and end times from an anesthesia information management system and paper records. J Clin Monit Comput. 2017;31:845–850. doi:10.1007/s10877-016-9893-x.

11. Lerou JG, Dirksen R, van Daele M, et al. Automated charting of physiological variables in anesthesia: a quantitative comparison of automated versus handwritten anesthesia records. J Clin Monit. 1988;4:37–47.

12. Thrush DN. Are automated anesthesia records better? J Clin Anesth. 1992;4:386–389.

13. Feldman JM. Do Anesthesia Information Systems Increase Malpractice Exposure? Results of a Survey. Anesth Analg. 2004;99:840–843. doi:10.1213/01.ANE.0000130259.52838.3B.

14. Vigoda MM, Feinstein DM. Anesthesia Information Management Systems. Adv Anesth. 2008;26:121–136. doi:10.1016/j.aan.2008.07.011.

15. Allard J, Dzwonczyk R, Yablok D, et al. Effect of automatic record keeping on vigilance and record keeping time. Br J Anaesth. 1995;74:619–626. doi:10.1093/bja/74.5.619.

16. Avidan A, Dotan K, Weissman C, et al. Accuracy of manual entry of drug administration data into an anesthesia information management system. Can J Anesth Can Anesth. 2014;61:979–985. doi:10.1007/s12630-014-0210-1.

17. Sinclair DR. Methodologies of anesthesia information management system development. J Clin Anesth. 2013;25:425–427. doi:10.1016/j.jclinane.2013.02.009.

18. Lubarsky DA, Sanderson IC, Gilbert WC, et al. Using an anesthesia information management system as a cost containment tool. Description and validation. Anesthesiology. 1997;86:1161–1169.

19. Kheterpal S, Gupta R, Blum JM, et al. Electronic Reminders Improve Procedure Documentation Compliance and Professional Fee Reimbursement. Anesth Analg. 2007;104:592–597. doi:10.1213/01.ane.0000255707.98268.96.

20. Spring SF, Sandberg WS, Anupama S, et al. Automated documentation error detection and notification improves anesthesia billing performance. Anesthesiology. 2007;106:157–163.

21. Frank SM, Rothschild JA, Masear CG, et al. Optimizing Preoperative Blood Ordering with Data Acquired from an Anesthesia Information Management System: Anesthesiology 2013;118:1286–1297. doi:10.1097/ALN.0b013e3182923da0.

22. Simpao A, Heitz JW, McNulty SE, et al. The Design and Implementation of an Automated System for Logging Clinical Experiences Using an Anesthesia Information Management System. Anesth Analg. 2011;112:422–429. doi:10.1213/ANE.0b013e3182042e56.

23. Avidan A, Weissman C, Levin PD. Integration of QR codes into an anesthesia information management system for resident case log management. Int J Med Inf. 2015;84:271–276. doi:10.1016/j.ijmedinf.2014.12.007.

24. Springman SR. Integration of the enterprise electronic health record and anesthesia information management systems. Anesthesiol Clin. 2011;29:455–483. doi:10.1016/j.anclin.2011.05.007.

25. Motsch J, Martin E. Beitrag der Anästhesie zum Workflow Operation. Chir. 2002;73:118–121. doi:10.1007/s00104-001-0413-1.

26. Shah NJ, Tremper KK, Kheterpal S. Anatomy of an Anesthesia Information Management System. Anesthesiol Clin. 2011;29:355–365. doi:10.1016/j.anclin.2011.05.013.

27. Wiemuth M, Fink E, Burgert O. A workflow management system for the perioperative area supporting all actors. 2015 17th Int. Conf. E-Health Netw. Appl. Serv. Heal. Boston, MA, USA: IEEE;2015:28–31. doi:10.1109/HealthCom.2015.7454468.

28. Wax DB, Beilin Y, Levin M, et al. The effect of an interactive visual reminder in an anesthesia information management system on timeliness of prophylactic antibiotic administration. Anesth Analg. 2007;104:1462–1466, table of contents. doi:10.1213/01.ane.0000263043.56372.5f.

29. Simpao AF, Tan JM, Lingappan AM, et al. A systematic review of near real-time and point-of-care clinical decision support in anesthesia information management systems. J Clin Monit Comput. 2017;31:885–894. doi:10.1007/s10877-016-9921-x.

30. European Comission. Guidance document Medical Devices - Scope, field of application, definition - Qualification and Classification of stand alone software - MEDDEV 2.1/6 2016.

31. Egger Halbeis CB, Epstein RH, Macario A, et al. Adoption of Anesthesia Information Management Systems by Academic Departments in the United States. Anesth Analg. 2008;107:1323–1329. doi:10.1213/ane.0b013e31818322d2.

32. Balust J, Egger Halbeis CB, Macario A. Prevalence of anaesthesia information management systems in university-affiliated hospitals in Europe. Eur J Anaesthesiol. 2010;27:202–208. doi:10.1097/EJA.0b013e3283313fc2.

33. Gálvez JA, Rothman BS, Doyle CA, et al. A Narrative Review of Meaningful Use and Anesthesia Information Management Systems. Anesth Analg. 2015;121:693–706. doi:10.1213/ANE.0000000000000881.

34. Ehrenfeld JM, Rehman MA. Anesthesia information management systems: a review of functionality and installation considerations. J Clin Monit Comput. 2011;25:71–79. doi:10.1007/s10877-010-9256-y.

35. Waldauf P. Polostrukturovaný telefonický rozhovor. 1. 10. 2018 n. d.

36. Kellovský P. Polostrukturovaný telefonický rozhovor. 8. 10. 2018 n. d.

37. Wagner R. Polostrukturovaný telefonický rozhovor. 8. 10. 2018 n. d.

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