DaCunha Matthew, Habashi-Daniel Arlette, Hanson Cody, Nichols Evan, Fraga Garth R
The University of Kansas, USA.
Google, USA.
Health Informatics J. 2020 Dec;26(4):2485-2491. doi: 10.1177/1460458220910341. Epub 2020 Mar 16.
Dermatologists rely on skin biopsies to diagnose cutaneous tumors and rashes. Skin biopsy sites should be accurately identified with conventional anatomical site descriptors in the pathology request form. Reliance upon free-text entries to describe these biopsy sites is prone to user error and can cause medical misadventures such as wrong-site follow-up surgery. We sought to determine whether a smartphone application (RightSite) could improve the precision of biopsy site labeling. We conducted a prospective proof-of-concept study of 100 smartphone-assisted skin biopsy site identifiers with matched comparison to 100 historical controls. Student's t-test was used to identify significant differences in the precision of anatomic descriptors before and after adoption of the application. We found a 69% improvement in precision of anatomic site labeling with the RightSite smartphone application (P < 0.0001). These data show smartphone-assisted biopsy site labeling improves the precision of anatomic site descriptors. Integrating graphical user interfaces into the electronic health records system could improve health care by standardizing anatomic site nomenclature and site-specific descriptors.
皮肤科医生依靠皮肤活检来诊断皮肤肿瘤和皮疹。在病理申请表中，应使用传统的解剖部位描述符准确识别皮肤活检部位。依靠自由文本输入来描述这些活检部位容易出现用户错误，并可能导致医疗事故，如错误部位的后续手术。我们试图确定一款智能手机应用程序（RightSite）是否能提高活检部位标记的准确性。我们对100名使用智能手机辅助的皮肤活检部位识别器进行了一项前瞻性概念验证研究，并与100名历史对照进行了匹配比较。采用学生t检验来确定应用该应用程序前后解剖描述符准确性的显著差异。我们发现，使用RightSite智能手机应用程序后，解剖部位标记的准确性提高了69%（P < 0.0001）。这些数据表明，智能手机辅助的活检部位标记提高了解剖部位描述符的准确性。将图形用户界面集成到电子健康记录系统中，可以通过标准化解剖部位命名和特定部位描述符来改善医疗保健。
