Canadian Healthcare Technology - June/July 2006 issue -
[Cached Version]
Published on: 4/7/2005
Last Visited: 12/1/2006
"Our initial phase has been more than successful," says Dr. Walley Temple, chief of surgical oncology at the Alberta Cancer Board's Tom Baker Cancer Centre in Calgary.
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"This synoptic method of reporting operations is as effective as dictating, but produces 50 percent more information, on average, than narrative reporting," Dr. Temple says.
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Dr. Temple assumed the leadership of CSA reporting to Dr. Anthony Fields, vice president, medical affairs and community oncology at ACB.
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Dr. Temple says the project team received "absolute commitment" from surgeons throughout the project and credits them for their willingness to subject themselves to critiques.
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"You wouldn't think changing from narrative format to digital would make a difference, but the system is built in such a way that it did," Dr. Temple says."By the end of the project, what I came to appreciate is how complex our system is."
Still, it's been more than worth the effort.While in the past, guidelines tended to get shelved because there was no seamless way to systematically incorporate them into the surgical documentation process, "These synoptic reports, through the templates we designed, automatically build in guidelines," Dr. Temple says.
"The other amazing thing that has come out of this is that, because surgeons know so much about the patients, they can add so many new things to the information that formerly wasn't part of surgical record, but might be factors in patient outcomes."
For example, the analysis of surgical practices, such as why patients with rectal cancer are having anal preserving process rather than a colostomy, can be made more accurately with the expanded data.
In the short term, Dr. Temple is looking at WebSMR being used across Alberta within 1-1/2 years.Beyond that, he says, "Our vision is that this unique approach is going to be a nation-wide standard."
The potential of this tool isn't limited to oncology."This is kind of the mother pilot for all surgery.It digitizes our work so we can analyze it through dynamic, real-time feedback."It's not even limited to surgery.Eventually, Dr. Temple would like to see the integration of other specialties - medical and radiation oncology - on the system, "So we can understand more of the biology of cancer, and integrate the three ... morbidity.