Format

Send to:

Choose Destination

Similar articles for PubMed (Select 24576598)

See comment in PubMed Commons below
Ann Thorac Surg. 2014 Apr;97(4):1163-8. doi: 10.1016/j.athoracsur.2013.12.042. Epub 2014 Feb 25.

Design of a consensus-derived synoptic operative report for lung cancer surgery.

Author information

  • 1Department of Surgery, McMaster University, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
  • 2Department of Surgery, University of Ottawa, Ottawa Hospital General Campus, Ottawa, Ontario, Canada.
  • 3Department of Surgery, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, Canada.
  • 4Departments of Surgery and Epidemiology and Biostatistics, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
  • 5Department of Surgery, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada.
  • 6Department of Surgery, Toronto East General Hospital, Toronto, Ontario, Canada.
  • 7Department of Surgery, University of Laval, Quebec Heart and Lung Institute, Québec, Quebec, Canada.
  • 8Department of Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
  • 9Department of Surgery, University of British Columbia, Surrey Memorial Hospital, Surrey, British Columbia, Canada.
  • 10Department of Surgery, University of Alberta, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
  • 11Department of Surgery, Northern Ontario School of Medicine, Sudbury, Ontario, Canada.
  • 12Department 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.

Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

PMID:
24576598
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk