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EP.TU.2Standards in Operation notes
Author(s) -
Joshua Alfred,
Simon McClean,
G E Nita,
Frances McNicol,
Suha Ugur
Publication year - 2021
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1093/bjs/znab311
Subject(s) - medicine , audit , compliance (psychology) , documentation , work (physics) , surgery , accounting , mechanical engineering , psychology , social psychology , computer science , engineering , programming language , business
Guidelines exist for operation notes from the Royal College of Surgeons of England but compliance has been shown to be variable. Aim The authors performed an audit of compliance with RCS standards in a colorectal department. Methods Thirty random operation notes were selected from a conserved pool. Their compliance was recorded against RCS good surgical practise record keeping and also looked particularly at fistula surgery and there documentation. Result Compliance was found to be poor and recommendations were put in place and the following was re audited. Conclusion As some specialities are developing operation note standards specific to individual procedures, the findings are compared with previous similar published work.

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