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HIS-based electronic documentation can significantly reduce the time from biopsy to final report for prostate tumours and supports quality management as well as clinical research.

Breil B, Semjonow A, Dugas M - BMC Med Inform Decis Mak (2009)

Bottom Line: We compared 87 paper-based with 86 electronic cases.The possibility to use these routine data for quality management and research purposes is an additional important advantage of the electronic system.Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Informatics and Biomathematics, University of Münster, Domagkstrasse 9, 48149 Münster, Germany. bernhard.breil@ukmuenster.de

ABSTRACT

Background: Timely and accurate information is important to guide the medical treatment process. We developed, implemented and assessed an order-entry system to support documentation of prostate histologies involving urologists, pathologists and physicians in private practice.

Methods: We designed electronic forms for histological prostate biopsy reports in our hospital information system (HIS). These forms are created by urologists and sent electronically to pathologists. Pathological findings are entered into the system and sent back to the urologists. We assessed time from biopsy to final report (TBF) and compared pre-implementation phase (paper-based forms) and post-implementation phase. In addition we analysed completeness of the electronic data.

Results: We compared 87 paper-based with 86 electronic cases. Using electronic forms within the HIS decreases time span from biopsy to final report by more than one day per patient (p < 0.0001). Beyond the optimized workflow we observed a good acceptance because physicians were already familiar with the HIS. The possibility to use these routine data for quality management and research purposes is an additional important advantage of the electronic system.

Conclusion: Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.

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EPC of the research process. The research process starts with definition of a research query. Data analysis is done in the department of statistics before urologists interpret the analysed data and create a research publication.
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Figure 2: EPC of the research process. The research process starts with definition of a research query. Data analysis is done in the department of statistics before urologists interpret the analysed data and create a research publication.

Mentions: We analysed the process from prostate biopsy to final report. Clinical findings as well as the location of the specimens taken are documented in the department of urology before these data are forwarded to the department of pathology. Pathological findings are transferred to urology again for a final review and annotation. Previously these forms were faxed between the department of urology and the department of pathology and were then sent to the referring physician. Figure 1 presents the workflow using event-driven process chains (EPC) [25,26]. In addition, we analysed communication between the department of urology and the department of statistics for research purposes (Figure 2) as well as processes for quality assurance (Figure 3). Both workflows were also modelled using EPC.


HIS-based electronic documentation can significantly reduce the time from biopsy to final report for prostate tumours and supports quality management as well as clinical research.

Breil B, Semjonow A, Dugas M - BMC Med Inform Decis Mak (2009)

EPC of the research process. The research process starts with definition of a research query. Data analysis is done in the department of statistics before urologists interpret the analysed data and create a research publication.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2651130&req=5

Figure 2: EPC of the research process. The research process starts with definition of a research query. Data analysis is done in the department of statistics before urologists interpret the analysed data and create a research publication.
Mentions: We analysed the process from prostate biopsy to final report. Clinical findings as well as the location of the specimens taken are documented in the department of urology before these data are forwarded to the department of pathology. Pathological findings are transferred to urology again for a final review and annotation. Previously these forms were faxed between the department of urology and the department of pathology and were then sent to the referring physician. Figure 1 presents the workflow using event-driven process chains (EPC) [25,26]. In addition, we analysed communication between the department of urology and the department of statistics for research purposes (Figure 2) as well as processes for quality assurance (Figure 3). Both workflows were also modelled using EPC.

Bottom Line: We compared 87 paper-based with 86 electronic cases.The possibility to use these routine data for quality management and research purposes is an additional important advantage of the electronic system.Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medical Informatics and Biomathematics, University of Münster, Domagkstrasse 9, 48149 Münster, Germany. bernhard.breil@ukmuenster.de

ABSTRACT

Background: Timely and accurate information is important to guide the medical treatment process. We developed, implemented and assessed an order-entry system to support documentation of prostate histologies involving urologists, pathologists and physicians in private practice.

Methods: We designed electronic forms for histological prostate biopsy reports in our hospital information system (HIS). These forms are created by urologists and sent electronically to pathologists. Pathological findings are entered into the system and sent back to the urologists. We assessed time from biopsy to final report (TBF) and compared pre-implementation phase (paper-based forms) and post-implementation phase. In addition we analysed completeness of the electronic data.

Results: We compared 87 paper-based with 86 electronic cases. Using electronic forms within the HIS decreases time span from biopsy to final report by more than one day per patient (p < 0.0001). Beyond the optimized workflow we observed a good acceptance because physicians were already familiar with the HIS. The possibility to use these routine data for quality management and research purposes is an additional important advantage of the electronic system.

Conclusion: Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.

Show MeSH