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World Neurosurgery
Article . 2024 . Peer-reviewed
License: CC BY
Data sources: Crossref
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
UCL Discovery
Article . 2024
Data sources: UCL Discovery
Journal of Neurological Surgery Part B Skull Base
Article . 2025 . Peer-reviewed
Data sources: Crossref
https://dx.doi.org/10.25418/cr...
Other literature type . 2024
License: CC BY
Data sources: Datacite
https://dx.doi.org/10.25418/cr...
Other literature type . 2024
License: CC BY
Data sources: Datacite
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Mapping the Clinical Pathway for Patients Undergoing Vestibular Schwannoma Resection

Authors: Siddharth Sinha; Simon C. Williams; John Gerrard Hanrahan; William R. Muirhead; James Booker; Sherif Khalil; Neil Kitchen; +5 Authors

Mapping the Clinical Pathway for Patients Undergoing Vestibular Schwannoma Resection

Abstract

Background The introduction of electronic health records (EHR) has improved the collection and storage of patient information, enhancing clinical communication and academia. However, EHRs remain limited by data quality and the time-consuming task of manual data extraction. This study aims to utilise process mapping to help identify critical data entry points within the clinical pathway for VS patients, ideal for structured data entry and automated data collection, in an effort to improve patient care and research. Methods A two-stage methodology was conducted at a neurosurgical unit. Process maps were developed using semi-structured interviews with stakeholders in the management of VS resection. Process maps were then retrospectively validated against EHR for patients admitted between August 2019 and December 2021, establishing critical data entry points. Results Twenty stakeholders were interviewed in the process map development. Process maps were validated against the EHR of 36 patients admitted for VS resection. Operation notes, surgical inpatient reviews (including ward rounds) and discharge summaries were present for all patients, representing critical data entry points. Areas for documentation improvement were present in the preoperative clinics (30/36, 83.3%), preoperative skull base multidisciplinary team (32/36, 88.9%), postoperative follow-up clinics (32/36, 88.9%), and the postoperative skull base multidisciplinary team meeting (29/36, 80.6%). Conclusion This is a first use of a two-stage methodology for process mapping the clinical pathway for patients undergoing VS resection. Our study identified critical data entry points which can be targeted for structured data entry and for automated data collection tools, positively impacting patient care and research.

Country
United Kingdom
Keywords

Vestibular Schwannoma, Male, Adult, data collection, FOS: Clinical medicine, Neurosciences, process mapping, translabyrinthine surgery, Neuroma, Acoustic, Middle Aged, Neurosurgical Procedures, retrosigmoid surgery, Ecology,Evolution & Ethology, Critical Pathways, Humans, Electronic Health Records, Female, Microfabrication & Bioengineering, patient pathway, Retrospective Studies, Aged, Computational & Systems Biology

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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