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Table 7 Use of the synoptic reporting tool (SRT) by case, at the end of data collection (February 2012)

From: Multi-level factors influence the implementation and use of complex innovations in cancer care: a multiple case study of synoptic reporting

Case

Data source(s)

Extent of use

Mammography case

Key informant interviews, documents

All radiologists in the province use the screening SRT; use of this tool has been `strongly recommended’ by government since 2008 in response to a provincial policy related to national mammography accreditation

Radiologists in three districts have chosen not to use the diagnostic SRT for their reporting of diagnostic mammography

Endoscopy case

Key informant interviews, documents

All endoscopists in the province use the SRT for screening colonoscopies; use of the tool is required for participation in the screening program

Most endoscopists in one district use the SRT for all endoscopic procedures; a district-wide policy was in the process of being implemented

Most endoscopists in the eight remaining districts do not use the SRT for diagnostic colonoscopy

Cancer surgery case

Key informant interviews, database review

4 of 4 breast surgeons in the two tertiary care centres consistently use the SRT to report breast cancer surgeriesa

3 of 4 colorectal cancer surgeons at the tertiary care centre consistently use the SRT to report colorectal cancer surgeries

1 of 2 general surgeons in the community hospital consistently uses the SRT to report breast and colorectal cancer surgeries

  1. aThe review of the database revealed more synoptic reports than actual breast cancer surgeries, indicating some surgeons use the SRT to also report benign breast surgeries.