实施综合报告,用于内镜定位复杂结肠直肠瘤
Haven Roy1, Garrett Johnson1, Harminder Singh2
1Surgery, University of Manitoba, Winnipeg, CAN.
Cureus
|March 25, 2024
概括
实施结直肠病变标记的综合报告模板可以改善沟通,并可能减少重复结直肠镜检查. 提高提供者意识和教育对于更广泛地采用此工具至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于指数结肠镜检查期间结肠直肠瘤的记录不足,重复进行手术前结肠镜检查的比例很高.
- 为了解决这个问题,制定了关于内镜局部化和综合报告模板的全国共识建议.
研究的目的:
- 报告电子综合报告模板的实施情况和内镜师的感知,该模板旨在增强结直肠病变标记.
- 评估模板对沟通的影响及其减少重复手术前结肠镜检查率的感知能力.
主要方法:
- 在内镜报告系统中实施了电子综合报告模板.
- 进行了信息图教育活动,随后通过电子邮件采访了区域内镜医生.
- 通过专题分析和混合方法三角化,合成了定性和定量数据.
主要成果:
- 54%的内镜医生参加了采访;50%使用了synoptic模板.
- 用户发现该模板具有功能性 (直观性: 3.56/5,效率: 3.7/5) 和影响力 (可信度: 4.22/5,信息性: 4.21/5).
- 由于缺乏意识 (42.9%) 和对叙事文本 (17.9%) 的偏好,吸收率有限.
结论:
- 内镜医生认为,视觉模板是改善沟通并可能减少重复手术前结肠镜检查的宝贵工具.
- 提供者意识是模板采用的一个重要障碍,需要进一步的教育举措.
- 加强综合报告的采用可以优化结直肠癌的监测和管理.
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