Standards in operation notes is it time to re-emphasise their importance?
| dc.contributor.author | Cahill, KC | |
| dc.date.accessioned | 2016-02-24T15:04:20Z | en |
| dc.date.available | 2016-02-24T15:04:20Z | en |
| dc.date.issued | 2016-01 | en |
| dc.identifier.uri | http://hdl.handle.net/10147/597132 | en |
| dc.description.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. | |
| dc.language.iso | en | en |
| dc.publisher | Irish Medical Journal | en |
| dc.subject | GUIDELINE | en |
| dc.subject | SURGERY | en |
| dc.subject.other | MEDICAL NOTE TAKING | en |
| dc.title | Standards in operation notes is it time to re-emphasise their importance? | en |
| dc.type | Article | en |
| dc.identifier.journal | Irish Medical Journal | en |
| dc.description.funding | No funding | en |
| dc.description.province | Connacht | en |
| dc.description.peer-review | peer-review | en |
| refterms.dateFOA | 2018-08-27T12:41:33Z | |
| html.description.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. |
