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Updated: Sep 15, 2025

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Development of a hybrid automated chart checking, data collection, and analysis system.

Edward L Clouser1, Quan Chen1, Daniel P Harrington1

  • 1Department of Radiation Oncology, Mayo Clinic Arizona, Phoenix, Arizona, USA.

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Summary

A new hybrid automated chart review platform was developed for oncology. This system streamlines chart checks, improving efficiency and identifying errors in radiation therapy plans.

Keywords:
Chart check automationChart check databasePlan attributes

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Health Informatics

Background:

  • Radiation therapy requires rigorous chart checks to ensure patient safety and treatment accuracy.
  • Manual chart review processes can be time-consuming and prone to human error.
  • Integrating automation into chart review can enhance efficiency and consistency.

Purpose of the Study:

  • To describe the development and clinical implementation of a hybrid automated chart review platform.
  • To create an integrated system combining a database, oncology information system (OIS) interfaces, and a user interface (UI).

Main Methods:

  • Developed a consensus checklist to standardize practices for clinical physics staff and residents.
  • Introduced the concept of "plan attributes" for specialized, automated checklist generation.
  • Implemented a hybrid automation approach combining automated steps with human review.
  • Established logging and categorization of identified deficiencies.

Main Results:

  • Analyzed over 4 years of data (October 2020 onwards) involving 427,073 tests and 7,882 chart checks.
  • Identified 7,116 minor errors, 679 major errors, and 71 plan rejections.
  • The platform demonstrated its capability in detecting significant deficiencies requiring plan remediation.

Conclusions:

  • Successfully developed and implemented a hybrid-automated chart checking program.
  • The software enhances per-case performance and user experience through modern database and software design.
  • The chart check database facilitates high-level review and improvement of plan checking and user performance.