Components of an ORMS
An OR management system (ORMS) comprises a suite of integrated software modules within an application that contains the functional and technical capability to schedule cases (and reschedule them as necessary), organize and bill the materials and supplies used, plan the clinical staff required, and document clinical data at the point of care in all the perioperative areas. These functions are essential, as ORs are especially cost intensive, and effective use and management of the resources such as rooms, time, and staff, requires valid and accessible data in real time. 1 The relationships between the functional modules in a basic ORMS are depicted in Fig. 17.1. Although some ORMS application suites also contain an AIMS (as depicted in Fig. 17.1 ), the key functionality of only the ORMS segment will be described in this chapter. Importantly, this chapter will present a generalized description of functionality that is currently present in most of the vendor-produced ORMS products. The ORMS functionality descriptions in this chapter are not representative of the functionality of any specific vendor-based system but are based on generalized capabilities of all systems currently available on the market.
Each vendor-based system uses multiple methods to capture data. All of the ORMS products utilize standard, keyboard-driven, manual data entry for the screens. Most of them will capture data from physiologic monitors and incorporate that data into the clinical modules. Some of them utilize barcode technology (particularly for the materials-management and billing functions), and some utilize radio-frequency identification (RFID) transponders, or tags, along with RFID readers as methods for data entry (particularly for staff, patient tracking, and equipment). The input technologies that are ultimately used when interacting with the ORMS will depend upon what is available for use within the selected product offering and what can be supported by the healthcare enterprise infrastructure.
KeywordsMalignant Hyperthermia Block Model Clinical Documentation Anesthesia Information Management System Patient Tracker
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