| Autor: |
Lyu, Heather G., Kantor, Olga, Laws, Alison D., McDonald, James, Pham, Lisa, Dominici, Laura S., Vincuilla, Julie, Raut, Chandrajit P., Danilchuk, Bryan, Novak, Lara, Parker, Tonia, King, Tari A., Mittendorf, Elizabeth A. |
| Předmět: |
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| Zdroj: |
JCO Clinical Cancer Informatics; 10/30/2022, p1-8, 8p |
| Abstrakt: |
PURPOSE: Accurate and efficient data collection is a challenge for quality improvement initiatives and clinical research. We describe the development of a custom electronic health record (EHR)–based registry to automatically extract structured Commission on Cancer axillary surgery-specific metrics from a custom synoptic note template included in the operative reports for patients with breast cancer undergoing surgery. METHODS: The smart functionality of our enterprise-based EHR system was leveraged to create a custom smart phrase to capture axillary surgery-specific variables. A multidisciplinary team developed structured data elements correlating to each axillary surgery-specific variable. These data elements were then included in a note template for the operative report. Each variable could be aggregated and converted into a single flat database through the EHR's reporting workbench and serve as a live, prospective registry for all users within the EHR. RESULTS: The final axillary surgery-specific note template in a synoptic format allowed for efficient and easy entry and automatic collection of breast cancer–specific metrics. From initial adoption in February 2021-December 2021, there were 1,254 patients who underwent breast surgery with axillary surgery. The operative notes allowed for automatic capture of metrics from 60.5% (n = 759) of patients. Data capture improved from 37.6% in the initial adoption period of 6 months to 86.2% in the last 5 months. CONCLUSION: We were able to demonstrate successful implementation of provider-driven structured data entry into EHR systems that permits automatic data capture. The end result is a custom synoptic note template and a real-time, prospective registry of breast cancer–specific Commission on Cancer metrics that are robust enough to use for quality improvement initiatives and clinical research. New @JCOCCI_ASCO paper on the implementation of a structured data entry system to collect axillary surgery specific metrics for #breast cancer patient demonstrates how existing #EHR systems can be used to improve documentation standards and surgical care. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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