Endoscopic electronic record: A new approach for improving management of colorectal cancer prevention

Abstract

Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected. The use of computers and electronic medical records for the management of endoscopic data are an important key to improving endoscopy unit efficiency and productivity. This technology supports optimal program operation, monitoring and evaluation colorectal cancer screening. This article is a comprehensive survey of endoscopic electronic medical records and information systems. Computerized clinical records have the capability of identifying patients due for screening and to calculate baseline rates of colorectal cancer screening by patient characteristics and by primary care physician and practice group. This paper describes data flow in the endoscopy unit, the minimum data set of colorectal cancer and key features of endoscopic electronic medical record. In addition, the researchers state standards in different aspects, especially terminology standards and interoperability standards for image and text.

Establishing a quality indicator format for endoscopic ultrasound

“…The post-procedural quality indicators are most vital as they allow physicians to summarize diagnostic findings, detail any EUS adverse effects, and outline treatment with proper follow-up and patient education. Upon expansion of this research to include twenty additional EUS reports in collaboration Table 3 Endoscopic ultrasound pre-procedural, tumorassociated, post-endoscopic ultrasound quality indicators 1 The above chart lists the percent of endoscopic ultrasound (EUS) reports in which pre-procedural quality indicators were documented. Indications and anesthesia were most frequently listed, while pre-procedural preparation, administration of antibiotics prior to fine needle aspiration of pancreatic cysts, and signing informed consent were less often listed in reports; 2 This chart demonstrates the adherence to EUS quality indicators for lesions consistent with or suspected to be of malignant etiologies.…”

“…The advent of computerized documentation and electronic medical records (EMR) allows organized and effective quality control (QC) analysis of gastrointestinal procedures [1] . The burgeoning costs of medicine have led to pushback efforts, including ensuring that value for cost is being delivered by high-quality examinations [2] .…”

New report preparation system for endoscopic procedures using speech recognition technology

“…It is important in medical services to diagnose and treat patients, however, making accurate records is also of importance. Amid various styles of endoscopic reports using different entry methods (mouse and keyboard, or speech) and different entry structures (free text entry or structured data entry), free text entry has the advantage of providing endoscopists leeway to use whatever expressions they choose when inputting their findings, and yet this could often result in incomplete data entry, as well as making reports difficult to search and to extract data at a later date 1 2 3 ( Fig. 1 columns 1 and 2).…”

“…This is why structured data entry is recommended by the European Society of Gastrointestinal Endoscopy (ESGE) 2 . The advantages of structured data entry include a lower occurrence of incomplete records and easier access to the data afterwards for searching and extracting 2 3 4 5 . Therefore, the electronic reporting system, which is the current mainstream, requires endoscopists to input endoscopic findings into structured reports using a mouse and keyboard 1 6 7 8 (See upper right of Fig.…”

“…Report preparation, out of all endoscopic procedure-related tasks, is laborious, which limits the number of procedures that can be completed 9 . Hence, by enhancing the efficiency of report preparation tasks, it is expected that productivity in the endoscopy suite will improve and endoscopists will be able to spend more time on other beneficial tasks 1 3 10 .…”