I read with interest the recent review article by Stabile and Cooper that identifies the lack of clinician involvement in the implementation, planning, design, and installation of anesthesia information management systems (AIMS) as a barrier to the adoption of health information technology. Many challenges are associated with the implementation of new ATMS in the perioperative setting, including the perception that workload will increase or autonomy will decrease. Even if AIMS use were mandated and early acceptance occur, the negative consequences of resistance may surface over the long term if the information system were viewed as prone to error or slow. Medical directors and anesthesiology department chiefs must actively manage the change process and gain physician acceptance for the new information system.3 Failure to gain acceptance of the AIMS may result in the unsuccessful launch of the system and huge financial losses.
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