Document Detail

Optimizing knee arthroscopy documentation using a new template.
MedLine Citation:
PMID:  24727963     Owner:  NLM     Status:  In-Data-Review    
Introduction: The purpose of the study was to assess the quality of documentation of knee arthroscopy and evaluate the implementation of a novel operative template. Method: A 34-point assessment was undertaken based on published national guidelines. A retrospective study of 50 operative notes of patients (group A) undergoing knee arthroscopy was completed. A new operative note template was devised to include important criteria and assessed in 49 patients (group B) for its efficacy in providing appropriately detailed findings. Results: Group A was lacking the minimum essential documentation standards expected. Some essential criteria for arthroscopic procedures were as low as 4%. Group B showed a statistically significant increase (P<0.001) in documentation accuracy throughout the essential criteria compared to the findings in group A. Conclusions: The authors conclude that the use of an evidence-based operative template for knee arthroscopy significantly improves the quality and accuracy of documentation compared to conventional free-hand operative notes.
Khalid Al-Dadah; Owain Evans; Fazal Ali
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of hospital medicine (London, England : 2005)     Volume:  75     ISSN:  1750-8460     ISO Abbreviation:  Br J Hosp Med (Lond)     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-04-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101257109     Medline TA:  Br J Hosp Med (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  227-30     Citation Subset:  IM    
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