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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Publishing Group
2016
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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 |
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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 |
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