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Related Experiment Video

Updated: Jun 2, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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A web-based referral system for neurosurgery--a solution to our problems?

Melissa C Choo1, Shyamica Thennakon, Jonathan Shapey

  • 1Department of Neurosurgery, King's College NHS Hospital Trust, London, SE5 9RS, UK. melissa.choo@doctors.org.uk

British Journal of Neurosurgery
|April 20, 2011
PubMed
Summary
This summary is machine-generated.

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The study found that traditional paper-based neurosurgical referrals have significant documentation issues. A new web-based referral system achieved 100% documentation but faced challenges with adoption and response times.

Area of Science:

  • Neurosurgery
  • Health Informatics
  • Medical Record Systems

Background:

  • Accurate patient handover is critical in neurosurgical units.
  • Traditional paper-based referrals suffer from illegibility, incomplete information, and lost patient records.
  • A web-based referral system was implemented in three referring hospitals.

Purpose of the Study:

  • To review the implementation and experience of the UK's first real-time online neurosurgical referral system.
  • To compare the strengths and weaknesses of the online system against the traditional paper-based system.

Main Methods:

  • Retrospective analysis of paper-based referrals (March 2009) and 14 months of web-based referrals.
  • Investigation of information patterns, advantages, and disadvantages of both referral systems.

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Main Results:

  • Paper-based referrals exhibited significant illegibility and missing information.
  • The online referral system achieved 100% documentation.
  • The online system had only 63% penetration in the best-performing trust, with notable delays in response.

Conclusions:

  • Paper-based neurosurgical referrals are inadequate for documentation.
  • The web-based system presents a potential solution to documentation issues, despite implementation challenges.
  • Further integration may offer benefits to patient care, though not yet proven by this data.