Socrates is like a smart phone , there are a lot of features that you might not use, especially to start with but once you become familiar with the options and features you will probably start to use more of it. There are a lot of options for how much data you can capture, from the very brief to the very detailed; you choose how much you want to record. There is also lot of customisation possible by the user and we regularly add new fields and scores as they become available due to changes in technology and technique. The main elements of Socrates are
- Outcomes scores and surveys -Socrates includes over 80 outcomes scores and patient surveys. These are both validated scores commonly used, and surveys to capture the patient’s medical history, history of injury, symptoms, signs etc.
- The surveys and scores can be filled in by the patients’ online or using our proprietary scannable forms.
- Intraoperative details - each module allows capture of standard procedural details - approach, implants used, graft, pathology etc. These can be set up by individual surgeons to save their commonly performed operations as defaults, it can take as little as 30 seconds to enter the intraoperative details.
- Non-surgical procedures - Captures details and outcomes for conservative/non-operative treatment.
- Clinical examination and ROM - Record clinical examination details and range of motion.
- Generate operation and examination reports – Once data is entered into Socrates, it’s possible to create a report in a Word document or PDF format from any of the data entered. You can include details of the patient’s scores, medical history, intraoperative details radiology - anything that has been entered into Socrates relating to that surgery or record can be turned into an individual report for that patient.
- Comorbidities/Concomitant therapy - Not all patients are equal - comorbidities can have a significant effect on the outcome of the procedure or surgery. Socrates enables you to collect comorbidities, details of previous surgery and concomitant medications or treatment and any other details which might affect the outcome in whatever level of detail you wish.
- Complications – Keeping track of complications is an important part of following outcomes. Socrates complications screen allows you to record the complication name, when it occurred, if it required readmission, reoperation, or revision and the outcome. There is also a complication report which summarises the important aspects of complications, when they occurred, how many, what they were etc.
- Search -The search function in Socrates enables users to search for patients/surgeries in any subgroup i.e. search for list of all patients operated on by Dr Too good between certain dates, over 40 years old, female, who had a rotator cuff repair and a biceps tenotomy.
Data analysis – this is one of the most important features of any database.
There are several different reports and methods of analysing data in Socrates.
- Descriptive statistics The program has a built in descriptive statistics module to enable users to easily generate results on mean scores, age, distribution - anything that is in the database. The search function makes it very easy to generate these data on a subset, i.e. patients undergoing primary THR for Dr Hipbone, with OA and surgery date between a date range.
- Standard Data reports – we’ve added a number standard reports to make it easier to track your patient’s progress without having to export raw data and obtain the help of the statistician. These include:
- Patient summaries - this report will summarise for each individual patient by score their preoperative, latest score and the one prior to that, along with the percentage difference between each visit.
- Collective summaries - if you have entered your patients into groups which we call protocols i.e. all THR’s Socrates can generate a summary which displays the number of records, the mean pre-op score, the mean follow-up, the latest score and the difference between the pre op and the last mean score.
- Missing score summaries - this report displays for each patient and time point their individual scores and whether or not they were completed.
- Follow-up report – this report lists which patients are overdue, or due back for follow-up between a certain date range.
- Web score reports – these reports display which patients have been sent scores via the web, and the date and time taken to return their scores.
- Export/extracting raw data
Socrates allows users to extract all the raw data into a CSV/Excel file for further statistical analysis. These data can be exported in many different configurations.
- Image/X-ray cataloguing
X-rays can be imported and stored with the patient’s surgery record. Keywords can be attached to the image to facilitate finding images of interest.
- Cataloguing of documents and videos
Videos and electronic documents (mpg, word, excel, PowerPoint, PDF) pertaining to the clinical record such as radiology and pathology reports, consent forms, etc. can be imported and attached to the each patient’s record.