Integrated data management of surgical patients provides efficient perioperative information flow to the healthcare givers. Electronic anesthesia record keeping system(EARK)facilitates intraoperative documentation of anesthesia practice. Our hospital had implemented EARK using computer workstation five years ago. We have been using the hardware for ten years including preliminary test period, and it is time to replace the system. Judging from our five year's experience we have decided to structure an open system to facilitate communication with other systems. Client-server system is suitable for our purpose. Windows NT was used for networking operating system and SQL server was used for relational database using Visual Basic and Visual C^<++> for programming language. Preoperative patient evaluation clinic is involved in the system and preoperative patient information is fed into the server computers. The new system is linked with the hospital information system resulting in interactive information transmission between the two systems. Database for clinical research, quality assurance, billing, effective operating room utilization, cost containment will be attributed to the system.

View full abstract

We compared Bacteria barrier(BFE%), physical characteristics, a feeling of wearing and working efficiency in contrast with two latest developed synthetic fabrics(polyester), the cotton fabric and the non-woven fabric. We obtained the following result on the above test. We gauged Bacteria barrier in U.S. Military Specification(M-36954-C)by using three kinds of challenge bacteria(Staphylococcus aureus, Serratia marcescens and Staphyloccus epidermidis). In this result, the new fabric(polyester 100%)showed the highest numerical value in BFE% as compared with other materials. Fabrics of polyester 100% and polyester 65%(cotton 35%)were superior with respect to strength, lint free and water repellent in physical characteristics. Then, surgical gown of polyester 100% which was wearing within the artificial weather room had poor ventilation ability during the beginning but due to the passage of time and discharge of humidity, temperature and humidity did not have a remarkable change. New fabrics which was developed as surgical gown can be recommended for reusable materials.

View full abstract