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首页> 外文期刊>Annals of surgical oncology >Electronic synoptic operative reporting for thyroid surgery using an electronic data management system: potential for prospective multicenter data collection.
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Electronic synoptic operative reporting for thyroid surgery using an electronic data management system: potential for prospective multicenter data collection.

机译：使用电子数据管理系统进行甲状腺手术的电子概要性手术报告：潜在的多中心数据收集潜力。

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BACKGROUND: Electronic synoptic operative reports ensure systematic documentation of all critical components and findings during complex surgical procedures. Thyroid surgery lends itself to synoptic reporting, because there are a predefined number of essential intraoperative events and findings that every endocrine surgeon invariably records. METHODS: An electronic web-based form (e-form) was designed and implemented to record operative data in a synoptic structure for thyroid surgery. The e-form was implemented as a pilot study from January 2008 to October 2009 for use by three attending surgeons. RESULTS: During this period, 514 e-forms were completed with 100% compliance, which recorded data from 384 total thyroidectomies and 130 thyroid lobectomies. All users found the e-form to be easy to use, comprehensive, and took less than 5 min to complete. CONCLUSIONS: The main advantages of a web-based e-form for synoptic recording of thyroid surgery are that it is user-friendly and easy to complete, yet comprehensive. Because it is based on a system available across institutions, it can be used as a minimum dataset and could be considered a national and international standard for wider use, especially if endorsed by the American or International Association for Endocrine Surgeons.
机译：背景：概要性电子手术报告可确保复杂手术过程中所有关键成分和发现的系统记录。甲状腺外科手术适合进行概要报告，因为每位内分泌外科医师都会预先记录一定数量的术中重要事件和发现。方法：设计并实施了一个基于电子网络的表格（e表格），用于以概要结构记录甲状腺手术的手术数据。该电子表格于2008年1月至2009年10月作为试点研究实施，供三名主治外科医生使用。结果：在此期间，完成了514份电子表格，符合率100％，记录了384个甲状腺切除术和130个甲状腺肺切除术的数据。所有用户都认为该电子表单易于使用，全面并且花费了不到5分钟的时间来完成。结论：基于网络的电子表格用于甲状腺手术的概要记录的主要优点是它易于使用且易于完成，但功能全面。因为它是基于跨机构可用的系统，所以它可以用作最低数据集，并且可以被视为广泛使用的国家和国际标准，特别是如果得到美国或国际内分泌外科医师协会的认可。

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