Web-based visualized data analysis model for a transurethral prostate surgery multicenter electronic clinical pathway

Abstract

　The purpose of this study was to construct a web-based visualized data analysis model with a business intelligence (BI) tool for the transurethral prostate surgery clinical pathway and then to make and use a common multicenter electronic clinical pathway. Various outcome data from 1,074 cases were compared with respect to surgical methods. The results were shared on the cloud via a commercially available spreadsheet with a BI tool and a mail option. Many types of inter- and intracenter variables were applied to the outcomes, including length of pre-operative stay, number of days of antibiotic dosage, number of days of drip infusion dosage, duration of catheterization, operative duration and length of post-operative stay. Policy differences were inferred between facilities and between doctors within facilities. The results in 24 cases in which multicenter common clinical pathways were used showed outcome improvement. While this study reveals the difficulty of developing and operating a multicenter common clinical pathway, it also points to the importance of doing so and of promoting standardization and improvement within facilities by comparing unique path analysis data on the web. The BI tool will be useful in comparing and sharing outcomes with the clinical pathway and in implementing improvements.