Lillebælt Hospital streamlines journal audits using SAS® Text Analytics
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.
"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.
Automated journal audits
"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
"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.
The results illustrated in this article are specific to the particular situations, business models, data input, and computing environments described herein. Each SAS customer’s experience is unique based on business and technical variables and all statements must be considered non-typical. Actual savings, results, and performance characteristics will vary depending on individual customer configurations and conditions. SAS does not guarantee or represent that every customer will achieve similar results. The only warranties for SAS products and services are those that are set forth in the express warranty statements in the written agreement for such products and services. Nothing herein should be construed as constituting an additional warranty. Customers have shared their successes with SAS as part of an agreed-upon contractual exchange or project success summarization following a successful implementation of SAS software. Brand and product names are trademarks of their respective companies.
Copyright © SAS Institute Inc. All Rights Reserved.
The manual patient record audits were a resource-demanding process, which only discovered faults and shortcomings in 1 percent of the records.
SAS Text Analytics
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.
“"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."”