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Electronic Medical Record Integration for Streamlined DXA Reporting.

Jason Wachsmann1, Kyle Blain2, Mathew Thompson3

  • 1Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9140, USA. Jason.Wachsmann@UTSouthwestern.edu.

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|September 27, 2017
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Summary
This summary is machine-generated.

Automating data transfer for Dual-energy X-ray absorptiometry (DXA) bone density reports significantly reduces errors and speeds up reporting times. This workflow enhances accuracy and efficiency in clinical practice.

Keywords:
Bone densityDEXAHL7Reporting

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Area of Science:

  • Radiology
  • Medical Informatics

Background:

  • Dual-energy X-ray absorptiometry (DXA) is crucial for bone mineral density assessment.
  • Manual data entry from DXA into electronic medical records (EMRs) is time-consuming and error-prone.

Purpose of the Study:

  • To evaluate the impact of automating DXA numerical data export via HL7 on reporting accuracy and efficiency.
  • To compare error rates and report turnaround times before and after implementing an automated workflow.

Main Methods:

  • Reconfigured DXA unit output to export data via an HL7 interface engine directly into the EMR.
  • Analyzed 100 DXA reports before and 100 after the change for numerical errors.
  • Evaluated report turnaround times using 1-year pre-change and 1-month post-change data.

Main Results:

  • Numerical errors decreased from 25 in 15 reports (pre-change) to zero (post-change).
  • Average exam-to-report turnaround time reduced from 2159 to 625 minutes.
  • The automated workflow did not require third-party software and maintained healthcare information security.

Conclusions:

  • Automating DXA data transmittal improves reporting accuracy and turnaround time.
  • This cost-effective and applicable workflow is recommended for EMR users.
  • The method enhances efficiency without compromising data security.