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Minerva Chirurgica 2014 December;69(6):331-6


language: English

Comparison between electronic method and conventional method recording and follow-up of general surgery ward-round notes taken

Aydin I. 1, Yeldan E. 2, İbiş A. C. 3, Albayrak D. 3, Oğuz S. 3, Senlikci A. 2

1 General Surgery Clinic at the Faculty of Medicine of Trakya University, Edirne, Turkey; 2 Izmir Bozyaka Training and Research Hospital, General Surgery Clinic, Izmir, Turkey; 3 General Surgery Clinic, Faculty of Medicine of Trakya University Edirne, Turkey


AIM: Patient anamneses and ward-rounds notes taken are two key elements which have been and will be used to ensure accurate and reliable sustainability at surgery services. In this study, we aimed to find a new method which is capable of better addressing the needs in this process, simplifying it and also saving time. We also targeted to compare this new method used by us with the method, also known as conventional method, having been used for years.
METHODS: Thirty patients were included in the study. The prehospitalization anamneses of the patients were taken using the two methods and the durations were recorded separately for the two methods. Thereafter, the patients were visited by two methods in the morning on each day of their stay. The durations were recorded daily and separately for the two methods. The durations were statistically evaluated separately for the anamneses and ward-round notes taken.
RESULTS: Evaluations showed that the method using hand terminal (1.2250 minutes) is more advantageous in terms of duration in recording ward-round scores than the conventional method (1.3853 minutes). It was founded that in regard to the duration, the average duration of manual anamnesis taking (16.3350 minutes) is higher than that of taking anamnesis by means of hand terminal (15.4733 minutes). Furthermore, it was also seen that the use of this new technique eliminated the problems previously experienced in data transfer, access to historical data etc.
CONCLUSION: In conclusion, this method that is tested by use of hand terminal is more advantageous than the conventional method in terms of time saving and accurate data transfer. It is our opinion that it will provide advantages in many more aspects if it is worked on.

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