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首页> 外文期刊>BMC Medical Informatics and Decision Making >HIS-based electronic documentation can significantly reduce the time from biopsy to final report for prostate tumours and supports quality management as well as clinical research
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HIS-based electronic documentation can significantly reduce the time from biopsy to final report for prostate tumours and supports quality management as well as clinical research

机译：基于HIS的电子文档可以显着减少从活检到前列腺肿瘤最终报告的时间，并支持质量管理和临床研究

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Background Timely and accurate information is important to guide the medical treatment process. We developed, implemented and assessed an order-entry system to support documentation of prostate histologies involving urologists, pathologists and physicians in private practice. Methods We designed electronic forms for histological prostate biopsy reports in our hospital information system (HIS). These forms are created by urologists and sent electronically to pathologists. Pathological findings are entered into the system and sent back to the urologists. We assessed time from biopsy to final report (TBF) and compared pre-implementation phase (paper-based forms) and post-implementation phase. In addition we analysed completeness of the electronic data. Results We compared 87 paper-based with 86 electronic cases. Using electronic forms within the HIS decreases time span from biopsy to final report by more than one day per patient (p Conclusion Electronic documentation can significantly reduce the time from biopsy to final report of prostate biopsy results and generates a reliable basis for quality management and research purposes.
机译：背景技术及时准确的信息对于指导医疗过程很重要。我们开发，实施和评估了一项命令录入系统，以支持涉及泌尿科医师，病理学家和私人执业医师的前列腺组织学记录。方法我们在医院信息系统（HIS）中设计了用于组织学前列腺活检报告的电子表格。这些表格是由泌尿科医师创建的，并通过电子方式发送给病理学家。病理结果被输入到系统中并发送回泌尿科医师。我们评估了从活检到最终报告（TBF）的时间，并比较了实施前阶段（基于纸质表格）和实施后阶段。此外，我们分析了电子数据的完整性。结果我们比较了87个纸质案例和86个电子案例。在HIS中使用电子表格可使每位患者从活检到最终报告的时间缩短超过一天（p结论电子文档可以显着减少从活检到前列腺活检结果的最终报告之间的时间，并为质量管理和研究提供可靠的基础目的。

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