Introduction In the diagnosis of sleep-related respiratory disorders, a detailed anamnesis and
assessment of the anatomical characteristics of the head and neck region are indispensable
for initiating adequate diagnostic procedures and therapy. In the past, sleep-specific
anamnesis and findings have proved to be extremely time-consuming in their implementation
and documentation. The use of a structured report (SR) of diagnostic and therapeutic
measures demonstrably increases the quality of findings and time efficiency in many
areas. The aim of this study is to compare the quality of findings of free text findings
(FTR) and SR with regard to completeness, efficiency and user satisfaction.
Materials and Methods: SR was used in sleep medicine patients for the collection of
anamnesis, clinical and technical examination findings as well as for the preparation
of corresponding physician letters by advanced assistant physicians. Corresponding
FTR and SR were subsequently evaluated with regard to quality of findings and time
expenditure. In addition, user satisfaction was evaluated by means of a questionnaire
with a visual analogue scale (VAS).
Results The SR showed a significantly higher completeness of findings in all partial aspects
(92.8 % vs. 52.6 %, p < 0.001). The time required for SR was significantly less than
for FTR (10.2 min vs. 16.8 min, p < 0.001) and the user satisfaction was significantly
higher (VAS 8.3 vs. 2.2, p < 0.01).
Conclusion SR in somnological consultations provides superior diagnostic quality, higher temporal
efficiency and increased user satisfaction in everyday clinical practice. For this
reason, SR should be recommended for sleep medicine.
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A-1224.PDF
