PROP - A Medical Expert System for Preoperative Testing

  • Karl Entacher
  • Gerhard Fritsch
  • Vinzenz Huber
  • Sabine Klausner
Part of the Lecture Notes in Computer Science book series (LNCS, volume 7058)


Preoperative evaluation is carried out in an inhospital and outpatient way and may easily cause double examinations. This paper deals with the initiation of a medical application, named “Präoperative Befundung“ (PROP) which is applied by clinicians, internists, family doctors and pediatricians since the year 2008 within the framework of an Austrian Reformpoolproject. The aims of the project are the standardization of preoperative evaluation, the prevention of double examinations and unnecessary tests, by a unique Patient-Anamnesis-Matrix. Moreover knowledge discovery about the preoperative process in general and economical optimization for public health insurance companies was focus of the project. How the system exactly works and how it was possible to make medical professionals using it will be explained in the paper. Empirical results from a two year application of PROP within a Reformpoolprojekt in the state of Salzburg, Austria will be demonstrated.


Preoperative evaluation preoperative diagnostic guideline data analyses 


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  1. 1.
    Huber, V.: ÖKZ: Ohne Blutbild in den OP? Das Österreichische Gesundheitswesen 51(6) (2010)Google Scholar
  2. 2.
    Fritsch, G.: ÖGAM-News: Reformpoolprojekt, Präoperative Befunde“ – Vision, Performance und Realität. Ärzte Krone, no. 15/16 (2010),
  3. 3.
    Huber, V., Gerner, H.: Reformpoolprojekt, Präoperative Befundung im Bundesland Salzburg, Soziale Sicherheit – Fachzeitschrift der Österreichischen Sozialversicherungen (December 2009),
  4. 4.
    Reform im Spital bringt Millionen Euro, Salzburger Nachrichten, October 30 (2010),
  5. 5.
    ÖGARI - Österreichischen Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin, ÖGARI-Leitlinie, Präoperative Evaluierung (2008),äoperative%20PatientInnenevaluierung%20Juni%202011.pdfGoogle Scholar
  6. 6.
    Fleisher, L.A., Beckman, J.A., Brown, K.A., Calkins, H., Chaikof, E., Fleischmann, K.E., Freeman, W.K., Froehlich, J.B., Kasper, E.K., Kersten, J.R., Riegel, B., Robb, J.F., Smith Jr., S.C., Jacobs, A.K., Adams, C.D., Anderson, J.L., Antman, E.M., Buller, C.E., Creager, M.A., Ettinger, S.M., Faxon, D.P., Fuster, V., Halperin, J.L., Hiratzka, L.F., Hunt, S.A., Lytle, B.W., Md, R.N., Ornato, J.P., Page, R.L., Tarkington, L.G., Yancy, C.W.: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery): Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anaesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. Circulation 116, 1971–1996 (2007)CrossRefGoogle Scholar
  7. 7.
    Flamm, M., Sönnichsen, A.: Reformpoolprojekt Präoperative Diagnostik PROP – Evaluationsbericht. Paracelsus Medizinische Privatuniversität, Institut für Allgemein-, Familien- und Präventivmedizin, Salzburg (2010)Google Scholar
  8. 8.
    Fritsch, G., Flamm, M., Seer, J., Soennichsen, A.: Economic Aspects of Preoperative Testing. Abstract 9, Cleveland Clinic Journal of Medicine 77 (2010)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Karl Entacher
    • 1
  • Gerhard Fritsch
    • 2
  • Vinzenz Huber
    • 3
  • Sabine Klausner
    • 1
  1. 1.Salzburg University of Applied SciencesPuch / SalzburgAustria
  2. 2.Department of Anesthesiology, Perioperative Medicine and Intensive Care MedicineParacelsus Medical UniversitySalzburgAustria
  3. 3.Versicherungsanstalt öffentlicher BediensteterSalzburgAustria

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