Department of Surgery, Mayo Clinic, Mayo Clinic Alix School of Medicine, Rochester, MN, USA.
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ann Surg Oncol. 2022 Oct;29(11):6526-6533. doi: 10.1245/s10434-022-11330-9. Epub 2022 Feb 16.
The Operative Standards for Cancer Surgery manuals define critical elements of optimal cancer surgery based on data and expert opinion. These key aspects of commonly performed cancer operations define technical standards that can be used as a quality assurance tool for practicing surgical oncologists and as an educational tool for trainees. This article provides background on these operative standards and their subsequent integration into synoptic operative report templates. With the goal of codifying the most important aspects of surgical oncology care to elevate and harmonize cancer care, the American College of Surgeons Cancer Programs has developed comprehensive synoptic operative reports. Synoptic operative reports are structured so that key data elements are recorded in a standardized format with prespecified terminology. In contrast to the narrative or structured operative reports frequently used by surgeons, these synoptic operative reports improve semantic clarity, provide uniform fields for abstraction, and facilitate passive data collection and real-time analytics while delivering key information for downstream multidisciplinary patient care. In this way, the synoptic operative report is a key component of a comprehensive effort to elevate the quality of cancer care nationally.
《癌症手术操作标准手册》根据数据和专家意见定义了优化癌症手术的关键要素。这些常见癌症手术的关键方面定义了技术标准，可作为执业外科肿瘤学家的质量保证工具，也可作为学员的教育工具。本文介绍了这些操作标准及其随后整合到摘要手术报告模板中的情况。为了规范外科肿瘤学护理的最重要方面，以提升和协调癌症护理，美国外科医师学院癌症项目制定了全面的摘要手术报告。摘要手术报告的结构使得关键数据元素以标准化格式记录，并使用预设术语。与外科医生经常使用的叙述性或结构化手术报告相比，这些摘要手术报告提高了语义清晰度，为抽象提供了统一的字段，并促进了被动数据收集和实时分析，同时为下游多学科患者护理提供了关键信息。通过这种方式，摘要手术报告是提高全国癌症护理质量的综合努力的关键组成部分。
