Temple Walley J, Francis Wesley P, Tamano Evangeline, Dabbs Kelly, Mack Lloyd A, Fields Anthony
Division of Surgical Oncology, University of Calgary, Tom Baker Cancer Centre, 1331 29th Street NW, Calgary, Alberta, Canada T2N 4N2.
Am J Surg. 2010 Jun;199(6):770-5. doi: 10.1016/j.amjsurg.2009.07.037. Epub 2010 Feb 16.
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.
A synoptic surgical template for breast cancer was created; this was digitized and made available to all surgeons in Alberta.
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.
The experience with the development and implementation of synoptic surgical reporting has proven to be a successful tool for generating quality surgical data.
大量文献表明，手术质量不仅影响发病率和死亡率，还影响长期生存和功能。这就要求我们开发一个系统来实时获取这些信息。
创建了一个乳腺癌手术概要模板；将其数字化并提供给艾伯塔省的所有外科医生。
数据涉及1392例乳腺癌手术。91%的报告在1小时内提交，97%的报告在24小时内提交。52%的报告在5分钟内完成。关于分期信息完整性的信息质量为89%。84%符合实践指南，89%的乳腺外科医生采用了该模板。75%的用户对该系统中度或高度满意。
手术概要报告的开发和实施经验已被证明是生成高质量手术数据的成功工具。
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