In 1998 our Department of Anesthesiology at the University of Michigan entered into a co-development effort to build a perioperative anesthesia information management system (AIMS) with a small, local medical software company named Systems Engineering Consults (SEC, Inc.) (Ann Arbor, Michigan). Every Saturday morning at 7:30 a.m. I met with the project manager, Michael O’Reilly, M.D. (then the head of our liver transplant team, now Professor of Anesthesiology and Perioperative Care at the University of California, Irvine); Vik Kheterpal, the president of SEC, Inc.; and Sachin Kheterpal, his younger brother, cofounder and chief operating officer of SEC, Inc. at Espresso Royal Café coffee shop to review and revise the software and clinical content. This continued for approximately two years, at which time we had completed a preoperative evaluation, intraoperative module and other aspects of a comprehensive system. During this time, I understood that Sachin Kheterpal was the lead product designer...

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