Electronic templates versus dictation for the completion of Mohs micrographic surgery operative notes.
Dermatol Surg
; 33(5): 588-95, 2007 May.
Article
em En
| MEDLINE
| ID: mdl-17451582
ABSTRACT
BACKGROUND:
Operative notes can be generated electronically by manual input of the entire note, free-form oral dictation, or using either an electronic template or a template for dictation. There are few studies that have directly compared these modalities in terms of speed, accuracy, and completeness.OBJECTIVE:
The objective was to determine whether electronic templates are more efficient and reduce errors compared to free-form oral dictation for the completion of Mohs micrographic surgery operative notes.METHODS:
Operative notes for 110 consecutive Mohs micrographic surgery cases were completed either by oral dictation or by electronic template. The time to dictate or complete the template was recorded for each note. Notes were subsequently edited, recording the number and type of errors as well as the time required to edit each note.RESULTS:
Compared with dictation, operative notes completed with the electronic template had fewer errors (5.8% vs. 81%), took less time to complete (175.5 seconds vs. 240.0 seconds), took less time to review and edit (41.6 seconds vs. 201.1 seconds), and were completed and signed in a more timely fashion (0.115 days vs. 20.7 days).CONCLUSION:
Electronic templates are a more accurate and rapid method compared to free-form oral dictation for the completion of Mohs micrographic surgery operative notes and have the advantage of being immediately available to review and sign.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Sistemas Computadorizados de Registros Médicos
/
Cirurgia de Mohs
/
Sistemas de Informação em Salas Cirúrgicas
/
Avaliação de Resultados em Cuidados de Saúde
/
Controle de Formulários e Registros
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Dermatol Surg
Assunto da revista:
DERMATOLOGIA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos