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Robert Bosch Hospital invests in integrated HIS to produce error-free reports

ISoft : 28 July, 2008  (Application Story)
The Robert Bosch Hospital (RBK) in Stuttgart has begun using digital dictation and voice recognition as part of its comprehensive quality management process to eliminate errors and produce reports faster.
Research shows (Refs 1 to 5) that one of the most common causes of mistakes in hospitals are due to incorrect or late diagnostic reports. For example, studies show that in 40 to 70 percent of cases, discharge reports were either not available for subsequent treatment, or contained serious mistakes, which is a major concern.

The hospital has adopted the MBS-easy diagnostic system from Kuhlmann Information Systems and Philips’ SpeechMagic voice recognition application. The systems are seamlessly integrated with iSOFT’s ClinicCentre hospital information system (HIS). Over the next three months, all 180 users (doctors and typists) at the RBK and the associated Schillerhöhe Clinic will be using this solution to produce timely and error-free reports.

'The support offered by the Robert Bosch Foundation has not only enabled us to invest in medical research, but also to invest in a high-performance IT infrastructure,“ said Walid Sbaih, head of IT at the RBK. 'When you consider that over 100,000 reports are written every year at our hospital alone, it is easy to imagine that a number of mistakes occur“.

The integration of digital speech processing and professional diagnostics management in the HIS will help to reduce these mistakes. A key feature is that users are assisted by forms for a structured data entry and rule-based wording proposals. Doctors can start reports during treatment,entering information on diagnoses and therapy in realtime. 'By structuring the workflows, we are not only achieving higher efficiency, but also avoiding the causes of mistakes,“ Walid Sbaih said. 'The IT-supported report creation from iSOFT allows us to standardise the important points for an optimum treatment path, and so significantly increase its quality. Another important quality characteristic is achieved, almost as a by-product: the consistent corporate identity is also guaranteed externally and internally.“

As an early adopter, the Robert Bosch Hospital is also taking an active role in the Lorenzo project. The ultimate aim of the project is the incremental conversion to new, forward-looking technology and the next generation of hospital information systems. To achieve this goal, the project team at iSOFT and the Robert Bosch Hospital continue to work closely.

Refs 1 to 5:

van Walraven C, Weinberg AL. Quality assessment of a discharge summary system. CMAJ 1995; 152(9):1437-1442.

van Walraven C, Seth R, Laupacis A. Dissemination of discharge summaries. Not reaching follow-up physicians. Can Fam Physician 2002; 48:737-742.

van Walraven C, Seth R, Austin PC, Laupacis A. Effect of discharge summary availability during post-discharge visits on hospital readmission. J Gen Intern Med 2002; 17(3):186-192.

Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med 2003; 18(8):646-651.

Wilson S, Ruscoe W, Chapman M, Miller R. General practitioner-hospital communications: a review of discharge summaries. J Qual Clin Pract 2001; 21(4):104-108.
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