Cargando…

Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.

The RCS has published clear and succinct guidelines dictating the necessity for the documentation of legible and timely surgical operative notes and exactly what should be included. A baseline study within the upper limb unit at our trust showed a 71.1% adherence with the RCS guidelines with an aver...

Descripción completa

Detalles Bibliográficos
Autores principales: Theivendran, Kanthan, Hassan, Sami, I Clark, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752709/
https://www.ncbi.nlm.nih.gov/pubmed/26893894
http://dx.doi.org/10.1136/bmjquality.u208727.w3498
_version_ 1782415775263358976
author Theivendran, Kanthan
Hassan, Sami
I Clark, David
author_facet Theivendran, Kanthan
Hassan, Sami
I Clark, David
author_sort Theivendran, Kanthan
collection PubMed
description The RCS has published clear and succinct guidelines dictating the necessity for the documentation of legible and timely surgical operative notes and exactly what should be included. A baseline study within the upper limb unit at our trust showed a 71.1% adherence with the RCS guidelines with an average delay of typing of notes after dictation was 11.6 days. This quality improvement project designed and developed a bespoke electronic surgical notes template built within an existing database driven software within the Trust. After implementation of the templates we found no delays in full operative notes being typed and a 100% adherence with the RCS guidelines. This project significantly improved the quality and timely production of electronic surgical notes within a sustainable electronic software solution.
format Online
Article
Text
id pubmed-4752709
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher British Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-47527092016-02-18 Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital. Theivendran, Kanthan Hassan, Sami I Clark, David BMJ Qual Improv Rep BMJ Quality Improvement Programme The RCS has published clear and succinct guidelines dictating the necessity for the documentation of legible and timely surgical operative notes and exactly what should be included. A baseline study within the upper limb unit at our trust showed a 71.1% adherence with the RCS guidelines with an average delay of typing of notes after dictation was 11.6 days. This quality improvement project designed and developed a bespoke electronic surgical notes template built within an existing database driven software within the Trust. After implementation of the templates we found no delays in full operative notes being typed and a 100% adherence with the RCS guidelines. This project significantly improved the quality and timely production of electronic surgical notes within a sustainable electronic software solution. British Publishing Group 2016-01-14 /pmc/articles/PMC4752709/ /pubmed/26893894 http://dx.doi.org/10.1136/bmjquality.u208727.w3498 Text en © 2016, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Theivendran, Kanthan
Hassan, Sami
I Clark, David
Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title_full Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title_fullStr Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title_full_unstemmed Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title_short Improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the Royal Derby Hospital.
title_sort improving the quality of operative notes by implementing a new electronic template for upper limb surgery at the royal derby hospital.
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752709/
https://www.ncbi.nlm.nih.gov/pubmed/26893894
http://dx.doi.org/10.1136/bmjquality.u208727.w3498
work_keys_str_mv AT theivendrankanthan improvingthequalityofoperativenotesbyimplementinganewelectronictemplateforupperlimbsurgeryattheroyalderbyhospital
AT hassansami improvingthequalityofoperativenotesbyimplementinganewelectronictemplateforupperlimbsurgeryattheroyalderbyhospital
AT iclarkdavid improvingthequalityofoperativenotesbyimplementinganewelectronictemplateforupperlimbsurgeryattheroyalderbyhospital