Laura Schneider1, Yaron Shargall1, Colin Schieman1, Andrew J Seely2, Sadeesh Srinathan3, Richard A Malthaner4, Andrew F Pierre5, Najib Safieddine6, Rosaire Vaillancourt7, Madelaine Plourde8, James Bond9, Scott Johnson10, Shona E Smith11, Christian J Finley12. 1. Department of Surgery, McMaster University, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada. 2. Department of Surgery, University of Ottawa, Ottawa Hospital General Campus, Ottawa, Ontario, Canada. 3. Department of Surgery, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, Canada. 4. Departments of Surgery and Epidemiology and Biostatistics, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada. 5. Department of Surgery, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada. 6. Department of Surgery, Toronto East General Hospital, Toronto, Ontario, Canada. 7. Department of Surgery, University of Laval, Quebec Heart and Lung Institute, Québec, Quebec, Canada. 8. Department of Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada. 9. Department of Surgery, University of British Columbia, Surrey Memorial Hospital, Surrey, British Columbia, Canada. 10. Department of Surgery, University of Alberta, Royal Alexandra Hospital, Edmonton, Alberta, Canada. 11. Department of Surgery, Northern Ontario School of Medicine, Sudbury, Ontario, Canada. 12. Department of Surgery, McMaster University, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada. Electronic address: finleyc@mcmaster.ca.
Abstract
BACKGROUND: For lung cancer surgery, a narrative operative report is the standard reporting procedure, whereas a synoptic-style report is increasingly utilized by healthcare professionals in various specialties with great success. A synoptic operative report more succinctly and accurately captures vital information and is rapidly generated with good intraobserver reliability. The objective of this study was to systematically develop a synoptic operative report for lung cancer surgery following a modified Delphi consensus model with the support of the Canadian thoracic surgery community. METHODS: Using online survey software, thoracic surgeons and related physicians were asked to suggest and rate data elements for a synoptic report following the modified Delphi consensus model. The consensus exercise-derived template was forwarded to a small working group, who further refined the definition and priority designation of elements until the working group had reached a satisfactory consensus. RESULTS: In all, 139 physicians were invited to participate in the consensus exercise, with 36.7%, 44.6%, and 19.5% response rates, respectively, in the three rounds. Eighty-nine elements were agreed upon at the conclusion of the exercise, but 141 elements were forwarded to the working group. The working group agreed upon a final data set of 180 independently defined data elements, with 72 mandatory and 108 optional elements for implementation in the final report. CONCLUSIONS: This study demonstrates the process involved in developing a multidisciplinary, consensus-based synoptic lung cancer operative report. This novel report style is a quality improvement initiative to improve the capture, dissemination, readability, and potential utility of critical surgical information.
BACKGROUND: For lung cancer surgery, a narrative operative report is the standard reporting procedure, whereas a synoptic-style report is increasingly utilized by healthcare professionals in various specialties with great success. A synoptic operative report more succinctly and accurately captures vital information and is rapidly generated with good intraobserver reliability. The objective of this study was to systematically develop a synoptic operative report for lung cancer surgery following a modified Delphi consensus model with the support of the Canadian thoracic surgery community. METHODS: Using online survey software, thoracic surgeons and related physicians were asked to suggest and rate data elements for a synoptic report following the modified Delphi consensus model. The consensus exercise-derived template was forwarded to a small working group, who further refined the definition and priority designation of elements until the working group had reached a satisfactory consensus. RESULTS: In all, 139 physicians were invited to participate in the consensus exercise, with 36.7%, 44.6%, and 19.5% response rates, respectively, in the three rounds. Eighty-nine elements were agreed upon at the conclusion of the exercise, but 141 elements were forwarded to the working group. The working group agreed upon a final data set of 180 independently defined data elements, with 72 mandatory and 108 optional elements for implementation in the final report. CONCLUSIONS: This study demonstrates the process involved in developing a multidisciplinary, consensus-based synoptic lung cancer operative report. This novel report style is a quality improvement initiative to improve the capture, dissemination, readability, and potential utility of critical surgical information.
Authors: Christopher L Tarola; Sameer Hirji; Steven J Yule; Jennifer M Gabany; Alessandro Zenati; Roger D Dias; Marco A Zenati Journal: IEEE Conf Cogn Comput Asp Situat Manag Date: 2018-08-02