Anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) are important contributors to success in the operating room (OR). However, novel changes in healthcare delivery in the United States are modifying the ways in which anesthesia professionals contribute to the operating room team. As a result of an increased emphasis on surgical outcomes, medical management experts recommend several team training intervention programs to increase efficiency and quality of care in the O.R. Across the literature, team training interventions in the OR are implemented via impactful changes in the practices of information technology systems and non-technical skills acquisition. The following article will describe recent developments in these arenas, while suggesting the path forward in reference to the role of anesthesia professionals.
Anesthesia Information Management Systems (AIMS) are a specialized form of technology that allow anesthesiologists and CRNAs to track, monitor, and gauge the administration of and effect from anesthesia throughout the perioperative cycle. The most typical form of AIMS is a software or hardware addition to the normal electronic medical records (EMR) system. AIMS can integrate information from multiple streams, led by the anesthesiologist, at multiple time points throughout the operative journey. Moreover, during surgery, most sophisticated AIMS can adapt to real-time changes in order to allow the anesthesiologist and surgeon to focus less on vital signs and more on the patient, allowing for greater capacity for decision-making. AIMS also formulate intensely accurate records of administered medications throughout the surgery, which is useful for post-operative billing, inventory, and reimbursement processes. In this way, AIMS increases the availability of historical records for surgeries, both fulfilling insurance reimbursement requirements and post-operative recovery. Changes with AIMS have sought to integrate the technologies as a tea