{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:04:13Z","timestamp":1782846253824,"version":"3.54.5"},"reference-count":24,"publisher":"JMIR Publications Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Hum Factors"],"abstract":"\n Background<\/jats:title>\n Anesthesia information management systems (AIMSs) automatically import real-time vital signs from physiological monitors to anesthetic records, replacing part of anesthetists\u2019 traditional manual record keeping. However, only a handful of studies have examined the effects of AIMSs on anesthetists\u2019 monitoring performance.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to compare the effects of AIMS use and manual record keeping on anesthetists\u2019 monitoring performance, using a full-scale high-fidelity simulation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This simulation study was a randomized controlled trial with a parallel group design that compared the effects of two record-keeping methods (AIMS vs manual) on anesthetists\u2019 monitoring performance. Twenty anesthetists at a tertiary hospital in Hong Kong were randomly assigned to either the AIMS or manual condition, and they participated in a 45-minute scenario in a high-fidelity simulation environment. Participants took over a case involving general anesthesia for below-knee amputation surgery and performed record keeping. The three primary outcomes were participants\u2019 (1) vigilance detection accuracy (%), (2) situation awareness accuracy (%), and (3) subjective mental workload (0-100).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n With regard to the primary outcomes, there was no significant difference in participants\u2019 vigilance detection accuracy (AIMS, 56.7% vs manual, 56.7%; P=.50), and subjective mental workload was significantly lower in the AIMS condition than in the manual condition (AIMS, 34.2 vs manual, 46.7; P=.02). However, the result for situation awareness accuracy was inconclusive as the study did not have enough power to detect a difference between the two conditions.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Our findings suggest that it is promising for AIMS use to become a mainstay of anesthesia record keeping. AIMSs are effective in reducing anesthetists\u2019 workload and improving the quality of their anesthetic record keeping, without compromising vigilance.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/16036","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T15:54:19Z","timestamp":1588607659000},"page":"e16036","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of the Effects of Automated and Manual Record Keeping on Anesthetists\u2019 Monitoring Performance: Randomized Controlled Simulation Study"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6953-2310","authenticated-orcid":false,"given":"Man-Kei","family":"Tse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7960-0364","authenticated-orcid":false,"given":"Simon Y W","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-3456","authenticated-orcid":false,"given":"Tsz Hin","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9771-5456","authenticated-orcid":false,"given":"Chung Wai","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0490-4731","authenticated-orcid":false,"given":"Ka Man","family":"Lam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-1400","authenticated-orcid":false,"given":"Chun Pong Benny","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,6,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/msj.21281"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0000000000000055"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000264082.54561.d8"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-013-0003-y"},{"key":"ref5","author":"Davies, DR","year":"1982","journal-title":"The Psychology Of Vigilance (Organizational and Occupational 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