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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Virtual Multidisciplinary Review of a Complex Case Using a Digital Clinical Decision Support Tool to Improve Workflow

Khee Chee Soo1, Issam Al Jajeh2, Raymond Quah3

  • 1General Surgery Department, Farrer Park Hospital, Singapore.

Journal of Multidisciplinary Healthcare
|May 28, 2021
PubMed
Summary

A digital clinical decision support tool streamlined multidisciplinary tumor board meetings for a complex dermatofibrosarcoma protuberans (DFSP) case. This improved workflow efficiency and facilitated better interdisciplinary discussion for optimal patient care.

Keywords:
clinical decision supportdigital toolmultidisciplinary team meetingsvirtual MDTworkflow efficiency

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Area of Science:

  • Oncology
  • Medical Informatics
  • Surgical Pathology

Background:

  • Multi-disciplinary tumor boards are essential for optimal cancer patient care.
  • Digital tools can enhance data consolidation and sharing for complex case reviews.
  • Dermatofibrosarcoma protuberans (DFSP) presents unique challenges requiring integrated clinical expertise.

Purpose of the Study:

  • To assess the impact of a clinical decision support tool on workflow efficiency during multidisciplinary team (MDT) meetings.
  • To evaluate the tool's effectiveness in facilitating complex case reviews, specifically for a DFSP tumor.
  • To determine the value of digital support in consolidating diverse clinical data for improved decision-making.

Main Methods:

  • Case presentation involved oncologist, pathologist, and radiologist contributions.
  • Virtual discussion and documentation were conducted using the NAVIFY Tumor Board platform.
  • Workflow efficiency was measured by observing and interviewing team members before and after tool implementation, counting steps in meeting preparation and execution.

Main Results:

  • The clinical review included surgical history, DFSP histology/sequencing, and radiological findings, leading to a hemipelvectomy and chemotherapy recommendation.
  • Meeting preparation steps reduced by 46% (69 to 37), with significant decreases for data managers (33 to 15) and pathologists (26 to 13).
  • Steps for conducting the meeting decreased by 31% (51 to 35).

Conclusions:

  • A digital clinical decision support tool effectively consolidated patient data for complex cases.
  • The tool enhanced workflow efficiency, improving case presentation and interdisciplinary discussion.
  • This facilitated informed clinical decision-making for challenging oncological cases like DFSP.