[Computer-based organization and documentation in orthopedics. A 5-year experience].

Area of Science:

• Orthopedic Surgery
• Health Informatics
• Hospital Management

Background:

• The University Hospital Homburg/Saar has utilized a computer-based system for clinical organization and surgical documentation since 1993.
• The existing system employs DOS/Windows PCs within a Novell network, integrating a database for patient data and specialized coding for ICD and IKPM (International Classification of Procedures in Medicine) digits.

Purpose of the Study:

• To evaluate the effectiveness of a computer-assisted system in managing orthopedic clinic operations and documentation.
• To assess the system's utility in supporting surgeons with surgical planning and record-keeping.
• To highlight the benefits of flexible software in meeting the diverse needs of surgeons and hospital administration.

Main Methods:

• Implementation of a computer-based system combining a patient data management database with a coding program for ICD and IKPM digits.
• Utilization of DOS/Windows PCs networked via Novell.
• Integration of departmental systems via an Intranet with external network and Internet connectivity.

Main Results:

• The computer-assisted system has been used for 31,500 patients and 8500 operations.
• The system proves to be an effective tool for surgeons in planning and documenting operations.
• Flexible software successfully accommodates the requirements of both surgical staff and administrative personnel.

Conclusions:

• Computer-assisted clinic management is a valuable tool in orthopedic departments.
• Flexible and integrated IT solutions enhance surgical planning, documentation, and overall hospital administration.
• The system's long-term use and extensive data handling demonstrate its efficacy and adaptability.