Synoptic surgical reporting for breast cancer surgery: an innovation in knowledge translation

Am J Surg. 2010 Jun;199(6):770-5. doi: 10.1016/j.amjsurg.2009.07.037. Epub 2010 Feb 16.

Abstract

Background: Extensive literature identifies that the quality of surgery not only influences morbidity and mortality but also long-term survival and function. This mandates that we develop a system to capture this information on a real-time basis.

Methods: A synoptic surgical template for breast cancer was created; this was digitized and made available to all surgeons in Alberta.

Results: The data reference 1,392 breast cancer procedures. Ninety-one percent of reports were submitted within 1 hour and 97% of reports were submitted within 24 hours. Fifty-two percent of reports were completed within 5 minutes. Information quality with respect to completeness of staging information was present in 89%. Eighty-four percent complied with practice guidelines and 89% of breast surgeons adopted the template. Seventy-five percent of users were moderately or highly satisfied with the system.

Conclusions: The experience with the development and implementation of synoptic surgical reporting has proven to be a successful tool for generating quality surgical data.

MeSH terms

  • Alberta / epidemiology
  • Breast Neoplasms / diagnosis
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / surgery*
  • Delphi Technique
  • Diagnostic Imaging
  • Female
  • Guideline Adherence
  • Humans
  • Internet
  • Mastectomy / methods
  • Mastectomy / standards
  • Practice Guidelines as Topic
  • Quality of Health Care*
  • Survival Rate
  • User-Computer Interface