Standards in operation notes is it time to re-emphasise their importance?

Hdl Handle:
http://hdl.handle.net/10147/597132
Title:
Standards in operation notes is it time to re-emphasise their importance?
Authors:
Cahill, KC
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jan-2016
URI:
http://hdl.handle.net/10147/597132
Abstract:
Guidelines exist for operation notes from the Royal College of Surgeons of England but compliance has been shown to be variable. The authors performed a closed loop audit of compliance with RCS standards in an Irish Plastic Surgery department. Thirty random operation notes were selected from a conserved pool of authors - before and after an educational intervention to increase awareness of the RCS guidelines. Following education, improvements were noted but also deteriorations â time increased from 12 (40%) to 16 (53%), emergency/elective status from none (0%) to 11 (36%), and operative diagnosis from seven (23%) to 21 (70%). However notably among the findings, surgeonâ s name decreased from 30 (100%) to 26 (86%), findings from 27 (90%) to 21 (53%) and tissue altered from 27 (90%) to 20 (66%). As some specialities are developing operation note standards specific to individual procedures, the findings are compared with previous similar published work.
Item Type:
Article
Language:
en
Keywords:
GUIDELINE; SURGERY
Local subject classification:
MEDICAL NOTE TAKING

Full metadata record

DC FieldValue Language
dc.contributor.authorCahill, KCen
dc.date.accessioned2016-02-24T15:04:20Zen
dc.date.available2016-02-24T15:04:20Zen
dc.date.issued2016-01en
dc.identifier.urihttp://hdl.handle.net/10147/597132en
dc.description.abstractGuidelines exist for operation notes from the Royal College of Surgeons of England but compliance has been shown to be variable. The authors performed a closed loop audit of compliance with RCS standards in an Irish Plastic Surgery department. Thirty random operation notes were selected from a conserved pool of authors - before and after an educational intervention to increase awareness of the RCS guidelines. Following education, improvements were noted but also deteriorations â time increased from 12 (40%) to 16 (53%), emergency/elective status from none (0%) to 11 (36%), and operative diagnosis from seven (23%) to 21 (70%). However notably among the findings, surgeonâ s name decreased from 30 (100%) to 26 (86%), findings from 27 (90%) to 21 (53%) and tissue altered from 27 (90%) to 20 (66%). As some specialities are developing operation note standards specific to individual procedures, the findings are compared with previous similar published work.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectGUIDELINEen
dc.subjectSURGERYen
dc.subject.otherMEDICAL NOTE TAKINGen
dc.titleStandards in operation notes is it time to re-emphasise their importance?en
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen
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