Multimodal Document Management in Radiotherapy, an Update

  • Harald Fahrner Department of Radiation Oncology Medical Center - University of Freiburg
  • Stefan Kirrmann Department of Radiation Oncology Medical Center - University of Freiburg
  • Mark Gainey Department of Radiation Oncology Medical Center - University of Freiburg
  • Marianne Schmucker Department of Radiation Oncology Medical Center - University of Freiburg
  • Martin Vogel Head of Development and Engineering Max Planck Institute of Biophysics Frankfurt
  • Felix Ernst Heinemann Department of Radiation Oncology Medical Center - University of Freiburg http://orcid.org/0000-0002-7282-8689
DOI: https://doi.org/10.5166/jroi-10-1-1

Abstract

Background: In 2013, we presented a study entitled “Multimodal document management in radiotherapy”, demonstrating the excellent routine performance of the system about four years after its initiation by evaluating a sample of n=500 documents. During this time the system saw additional developments and significant improvements: the most important innovative step being the automatic document processing. This has been completely reworked, to minimize staff-machine interaction, to increase processing speed and to further simplify the overall document handling. This improved system has been running practically without any problems for several months. Methods: While reworking the automatic document processing, we have developed algorithms that allow us to transfer documents with varying type, within a single scanning procedure, into our departmental system. The system identifies and corrects for any arbitrary order or rotation of scanned pages. Finally, after the transfer into the departmental system, all documents are in the correct order and they are automatically linked to the respective patient record.  Results: According to our surveys, the error rate of the system, as in the previous version, is 0%. Compared to manual scanning and mapping of documents, we can quantify a 30-fold increase in the processing speed. In spite of these additional and elaborate processes, code optimizations yielded a processing speed increase of 20%. Pre-sorting of the documents (e.g., medical reports, or documents of informed consents) can be completely dispensed with the automated correction for jumbled documents or document rotations. In this manner 25,000 documents are automatically processed each year in the Department of Radiation Oncology at the University of Freiburg. Conclusion: With the methods presented in this study, and some additional bug fixes, and small improvements, automatic document processing of our departmental system was significantly improved without compromising the error rate.

Keywords: Clinic management, documents, workflow, optimisation, efficiency, automation, Mosaiq, oncology informatics

 

Author Biographies

Harald Fahrner, Department of Radiation Oncology Medical Center - University of Freiburg
Harald Fahrner, IT Specialist, employee of Clinical and Administrative Information Technology Department

Department of Radiation Oncology

Medical Center - University of Freiburg

Stefan Kirrmann, Department of Radiation Oncology Medical Center - University of Freiburg
Stefan Kirrmann, IT Specialist, employee of Clinical and Administrative Information Technology Department

Department of Radiation Oncology

Medical Center - University of Freiburg

Mark Gainey, Department of Radiation Oncology Medical Center - University of Freiburg
Mark Gainey, physicist PhD, employee of Department of Medical Physics

Department of Radiation Oncology

Medical Center - University of Freiburg

Marianne Schmucker, Department of Radiation Oncology Medical Center - University of Freiburg
Marianne Schmucker, medical doctor MD, managing senior physician

Department of Radiation Oncology

Medical Center - University of Freiburg

Martin Vogel, Head of Development and Engineering Max Planck Institute of Biophysics Frankfurt
Martin, phsicist PhD, Head of Development and Engineering
Max Planck Institute of Biophysics Frankfurt
Felix Ernst Heinemann, Department of Radiation Oncology Medical Center - University of Freiburg
Felix Heineman, medical computer scientist, medical doctor MD, Head of Clinical and Administrative Information Technology Department

Department of Radiation Oncology

Medical Center - University of Freiburg

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Published
2019-02-11
How to Cite
Fahrner, H., Kirrmann, S., Gainey, M., Schmucker, M., Vogel, M., & Heinemann, F. E. (2019). Multimodal Document Management in Radiotherapy, an Update. Journal of Radiation Oncology Informatics, 10(1), 9. https://doi.org/10.5166/jroi-10-1-1
Issue
Vol. 10 No. 1 (2019)
Section
Technical Reports / Case Reports

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