Abstract
Background
Extensive literature identifies that the quality of surgery not only influences morbidity
and mortality but also long-term survival and function. This mandates that we develop
a system to capture this information on a real-time basis.
Methods
A synoptic surgical template for breast cancer was created; this was digitized and
made available to all surgeons in Alberta.
Results
The data reference 1,392 breast cancer procedures. Ninety-one percent of reports were
submitted within 1 hour and 97% of reports were submitted within 24 hours. Fifty-two
percent of reports were completed within 5 minutes. Information quality with respect
to completeness of staging information was present in 89%. Eighty-four percent complied
with practice guidelines and 89% of breast surgeons adopted the template. Seventy-five
percent of users were moderately or highly satisfied with the system.
Conclusions
The experience with the development and implementation of synoptic surgical reporting
has proven to be a successful tool for generating quality surgical data.
Keywords
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References
- Surgeon volume and operative mortality in the United States.N Engl J Med. 2003; 349: 2117-2127
- Guidelines to assure quality in breast cancer surgery.Eur J Surg Oncol. 2005; 31: 568-576
- Measuring the quality of surgical care: structure, process, or outcomes?.J Am Coll Surg. 2004; 198: 626-632
- Specialisation and breast cancer survival in the screening era.Br J Cancer. 2003; 88: 1708-1712
- Survival outcome of care by specialist surgeons in breast cancer: a study of 3786 patients in the west of Scotland.BMJ. 1996; 312: 145-148
- Trends in hospital and surgeon volume and operative mortality for cancer surgery.Ann Surg Oncol. 2006; 13: 851-858
- Hospital volume and surgical mortality in the United States.N Engl J Med. 2002; 346: 1128-1137
- Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature.Ann Surg Oncol. 2009; 16: 1799-1808
- The DeLone and McLean model of information systems success: a ten-year update.J Manag Inf Syst. 2003; 19: 9
- The computer synoptic operative report—a leap forward in the science of surgery.Ann Surg Oncol. 2004; 11: 941-947
- The quality of the operative report for women with ovarian cancer in Ontario.J Obstet Gynaecol Can. 2006; 28: 892-897
- Comparison of data extraction from standardized versus traditional narrative operative reports for database-related research and quality control.Surgery. 2007; 141: 708-714
- Synoptic/checklist reporting of breast biopsies: has the time come?.Breast J. 2001; 7: 271-274
- Synoptic reporting in tumor pathology: advantages of a web-based system.Am J Clin Pathol. 2007; 127: 898-903
- Katz on the net.CMAJ. 1998; 159: 1494
- The palpable breast lump: information and recommendations to assist decision-making when a breast lump is detected.CMAJ. 1998; 158: S3-S8
- A template based approach to support utilization of clinical practice guidelines within an electronic health record.J Am Med Inform Assoc. 1998; 5: 237-244
Article info
Publication history
Published online: February 18, 2010
Received in revised form:
July 8,
2009
Received:
May 8,
2009
Identification
Copyright
© 2010 Published by Elsevier Inc.