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Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...

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Updated: Jun 8, 2026

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
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Electronic synoptic operative reporting for thyroid surgery using an electronic data management system: potential for

N Gopalakrishna Iyer1, Iain J Nixon, Frank Palmer

  • 1Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

Annals of Surgical Oncology
|October 1, 2010
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Summary

A new electronic form (e-form) streamlines thyroid surgery documentation. This user-friendly tool ensures comprehensive synoptic operative reports, enhancing data collection for endocrine surgeons.

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Area of Science:

  • Endocrine Surgery
  • Surgical Informatics
  • Medical Documentation

Background:

  • Electronic synoptic operative reports standardize documentation of critical surgical components and findings.
  • Thyroid surgery is well-suited for synoptic reporting due to its consistent intraoperative events and findings.

Purpose of the Study:

  • To design and implement an electronic web-based form (e-form) for synoptic data recording in thyroid surgery.

Main Methods:

  • An electronic web-based form (e-form) was developed for synoptic thyroid surgery data.
  • A pilot study was conducted from January 2008 to October 2009 with three attending surgeons.

Main Results:

  • 514 e-forms were completed with 100% compliance, documenting 384 total thyroidectomies and 130 thyroid lobectomies.
  • Users reported the e-form was easy to use, comprehensive, and quick to complete (<5 minutes).

Conclusions:

  • The web-based e-form offers a user-friendly, comprehensive, and efficient method for synoptic thyroid surgery recording.
  • This system can serve as a minimum dataset and a potential national/international standard for endocrine surgery documentation.