Analytics frees surgeons to spend more time with patients

Lillebælt Hospital streamlines clinical audits using SAS®

The Department of Orthopedic Surgery at Denmark's Lillebælt Hospital has given up resource-intensive, manual journal audits and has initiated an IT solution that provides quality control of registrations in all patient records.

Previously, 1 percent of the patient records in the Department of Orthopedic Surgery at Vejle Hospital, a division of Lillebælt Hospital, were checked by random sampling during record audits four times a year by a surgeon and a secretary. But even the 160 records that were checked brought limited knowledge to those who made the mistakes, and most importantly, the quality control was time-consuming.

"We found errors in 33 percent of the records we checked by random sampling. This meant that we had registered faulty or too few diagnoses or treatments. For example, when a patient with a thigh-bone fracture caught pneumonia during the hospitalization, the pneumonia and the treatment of it were too often not registered," says Chief Surgeon Sten Larsen.

If data is faulty, the basis for decision making is also faulty. Therefore, the Clinically Correct Time-True Registration system makes sense beyond our department and hospital.

Sten Larsen
Chief Surgeon

Automated clinical audit

The department has implemented the Clinically Correct Time-True Registration system, which automatically analyzes the records of all hospitalized patients. This is done by a text analytics-based solution from SAS®. The software analyzes the surgeon’s dictation in the patient record and automatically registers the code that is connected to the diagnosis and the treatment. Some adaptation has been required to ensure that both Danish and Latin terms, abbreviations, etc. are interpreted correctly.

"We have adjusted and tested the system on an ongoing basis. Now we are ready to watch it stay the course on a larger amount of records," says Larsen, who together with Kenneth Seerup Jørgensen, Area Manager of Facility and IT Strategy, got the idea for the project. They have both participated during the entire development phase.

Both Larsen and Seerup Jørgensen are evaluating the project to determine how well errors have been caught and fixed and whether this is freeing surgeons to spend more time with patients. "If the project meets our expectations, it can immediately be transferred to other orthopedic surgery departments in the Lillebælt Hospital group. And with a few adjustments of codes and terminology it can also be transferred to other surgical departments, where electronic patient records are already in use," says Seerup Jørgensen.

Information basis for other improvements

Due to this project, management at Lillebælt Hospital has prioritized the establishment of a database that can also be used for improvements in other areas. For example, the quality of clinical work can be improved since the procedures and diagnoses described in the electronic patient records are accessible in other systems, thereby forming a better basis for research and further diagnosis.

"Mistakes can be major or minor, significant or insignificant. But it is important to remember that all health care policy decisions are based on the statistics that each clinic contributes by registering data. If data is wrong, the basis for decision making is also faulty. Therefore, the Clinically Correct Time-True Registration system makes sense beyond our department and hospital," says Larsen.

Challenge

The manual patient record audits were a resource-demanding process, which only discovered faults and shortcomings in 1 percent of the records.

Solution

SAS® Text Analytics

Benefits

Surgeons spend more time with patients instead of reviewing records. And with all records checked, the staff is in a better position to learn from its mistakes.

本記事に掲載された導入効果は、各企業によって異なる状況やビジネスモデル、入力データ、業務環境に固有のものです。SASの紹介する顧客体験は、各企業に固有のものであり、業務面や技術面の背景もそれぞれ異なるため、各事例に掲載されたあらゆる証言は、導入の典型例を示すものではありません。導入にともなう金銭的効果、導入結果、ソリューションのパフォーマンスなどの特徴は、個別の顧客による機器構成や機器のコンディションに著しく左右されるものです。本事例は、すべてのSASの顧客が当該事例と同じ導入効果を得られるとするものではなく、そうした効果を保証するものでもありません。SAS製品および提供サービスの保証内容は、各製品・サービス向けに発行された保証書に記載された内容に限られます。したがって、本事例に掲載された内容は、それらの保証内容になんら補足するものではありません。事例に掲載された顧客は、各事例をSASとの契約にもとづいて提供しているか、SAS発行のソフトウェアの導入成功にともなう体験を要約しているにすぎません。

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