Evidence map›Paper›PMID 38393753›Full record

ArticleJMIR research protocols2024

Enhancing the Efficiency of a Radiation Oncology Department Using Electronic Medical Records: Protocol for Preparing Radiotherapy.

Hao-Shen Cheng, Weir-Chiang You, Ni-Wei Chen, Mu-Chih Hsieh, Che-Fu Tsai, Chia-Jing Ho, Chien-Chih Chen

Abstract read
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hao-Shen Cheng *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-2729-696X
Weir-Chiang You *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0001-8461-0663
Ni-Wei Chen *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0009-0002-7576-3099
Mu-Chih Hsieh *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0009-0001-6576-3995
Che-Fu Tsai *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-5736-4337
Chia-Jing Ho *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0009-0004-5496-2886
Chien-Chih Chen *Taichung Veterans General Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0001-6508-6448

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic medical records (EMRs) streamline medical processes, improve quality control, and facilitate data sharing among hospital departments. They also reduce maintenance costs and storage space needed for paper records, while saving time and providing structured data for future research.

objectiveThis study aimed to investigate whether the integration of the radiation oncology information system and the hospital information system enhances the efficiency of the department of radiation oncology.

methodsWe held multidisciplinary discussions among physicians, physicists, medical radiation technologists, nurses, and engineers. We integrated paper records from the radiation oncology department into the existing hospital information system within the hospital. A new electronic interface was designed. A comparison was made between the time taken to retrieve information from either the paper records or the EMRs for radiation preparation. A total of 30 cases were randomly allocated in both the old paper-based system and the new EMR system. The time spent was calculated manually at every step during the process, and we performed an independent 1-tailed t test to evaluate the difference between the 2 systems.

resultsSince the system was launched in August 2020, more than 1000 medical records have been entered into the system, and this figure continues to increase. The total time needed for the radiation preparation process was reduced from 286.8 minutes to 154.3 minutes (P<.001)-a reduction of 46.2%. There was no longer any need to arrange for a nurse to organize the radiotherapy paper records, saving a workload of 16 hours per month.

conclusionsThe implementation of the integrated EMR system has resulted in a significant reduction in the number of steps involved in radiotherapy preparation, as well as a decrease in the amount of time required for the process. The new EMR system has provided numerous benefits for the department, including a decrease in workload, a simplified workflow, and conserving more patient data within a confined space.

Indexed as

efficiencyelectronic medical recordsHospital Information Systemprotocolradiation oncology

Identifiers

PMID38393753
PMCPMC10924260

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.