Abstract：
Health care has been transformed by computerization, and the use of electronic health record systems has become widespread. Anesthesia information management systems are commonly used in the operating room to maintain records of anesthetic care delivery. The perioperative environment and the practice of anesthesia generate a large volume of data that may be reused to support clinical decision-making, research, and process improvement. Anesthesiologists trained in clinical informatics, referred to as informaticists or informaticians, may help implement and optimize anesthesia information management systems. They may also participate in clinical research, management of information systems, and quality improvement in the operating room or throughout a health care system. Here, we describe the specialty of clinical informatics, how anesthesiologists may obtain training in clinical informatics, and the considerations particular to the subspecialty of anesthesia informatics. Management of perioperative information systems, implementation of computerized clinical decision support systems in the perioperative environment, the role of virtual visits and remote monitoring, perioperative informatics research, perioperative process improvement, leadership, and change management are described from the perspective of the anesthesiologist-informaticist.
摘要：
医疗保健已经被计算机化改造，电子健康记录系统的使用已经变得普遍。麻醉信息管理系统通常在手术室中用于维护麻醉护理交付的记录。围手术期环境和麻醉实践产生了大量的数据，这些数据可以重复使用以支持临床决策，研究,和过程改进。接受过临床信息学培训的麻醉师，被称为信息学家或信息学家，可能有助于实施和优化麻醉信息管理系统。他们也可能参与临床研究，信息系统管理，以及手术室或整个医疗保健系统的质量改进。这里,我们描述了临床信息学的专业，麻醉师如何获得临床信息学培训，以及麻醉信息学亚专业的特殊考虑。围手术期信息系统的管理，在围手术期环境中实施计算机化临床决策支持系统，虚拟访问和远程监控的作用，围手术期信息学研究，围手术期流程改进，领导力,从麻醉师-信息学家的角度描述了变更管理。
