Is there adequate information on operation notes? The application of the Royal College of Surgeons of England guidelines

Journal of Perioperative Practice

Volumn 20, Issue 9, 2010, Pages 339-342

  Rogers, Benedict A ^b   Pleat, Jonathan ^a  

^a Plastic and Reconstructive Surgery   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DOCUMENTATION; HUMAN; MEDICAL AUDIT; MEDICAL RECORD; PLASTIC SURGERY; PRACTICE GUIDELINE; REMINDER SYSTEM; STANDARD; UNITED KINGDOM;

CLINICAL AUDIT; DOCUMENTATION; ENGLAND; GUIDELINE ADHERENCE; HUMANS; MEDICAL RECORDS; RECONSTRUCTIVE SURGICAL PROCEDURES; REMINDER SYSTEMS;

EID: 78149259910     PISSN: 17504589     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (14)

1. Bateman ND, AS Carney, Gibbin KP 1999 An audit of the quality of operation notes in an otolaryngology unit Journal of Royal College of Surgeons of Edinburgh 44 (2) 94-5.
2. Brennan TA, Leape LL Laird NM et al 1991 Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I New England Journal of Medicine 324 (6) 370-6.
3. Cradock J, Young AS Sullivan G 2001 The accuracy of medical record documentation in schizophrenia Journal of Behavioural Health Services & Research 28 (4) 456-65.
4. Din R, Jena D Muddu BN 2001 The use of an aide-memoire to improve the quality of operation notes in an orthopaedic unit Annals of Royal College Surgeons of England 83 (5) 319-20.
5. General Medical Council 1998 Good Medical Practice London, GMC.
6. Gomey M 1999 The wheel of misfortune Genesis of malpractice claims Clinics in Plastic Surgery 25 (1) 15-9 v.
7. Joint Commission Resources 2006 Risk management Assessing risk in medical documentation: Comprehensive medical records can be your greatest protection Joint Commission Perspectives on Patient Safety 6 (2) 3-8.
8. National Confidential Enquiry into Patient Outcome and Death 1994 The Report of the National Confidential Enquiry into Perioperative Deaths 1992/3 London, NCEPOD.
9. National Confidential Enquiry into Patient Outcome and Death 2009 Caring to the End? A review of the care of patients who died in hospital within four days of admission London, NCEPOD.
10. Royal College of Surgeons of England 1994 Guidelines for Clinicians on Medical Records & Notes London, RCSEng.
11. Royal College of Surgeons of England 1995 Guidelines to Clinical Audit in Surgical Practice London, RCSEng.
12. Royal College of Surgeons of England 2002 Good Surgical Practice London, RCSEng.
13. Reed MW, Phillips WS 1994 Operating theatre lists-accidents waiting to happen? Annals of Royal College of Surgeons of England 76 (6) Suppl 279-80.
14. Williamson J 2001 Good Record Keeping. In Union MD Medical Defence Union (ed), London.