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Published in: Journal of Maxillofacial and Oral Surgery 3/2011

01-09-2011 | Clinical Study

Improving the Standard of Operative Notes within an Oral and Maxillofacial Surgery Department, using an Operative Note Proforma

Authors: Karl Payne, Keith Jones, Andrew Dickenson

Published in: Journal of Maxillofacial and Oral Surgery | Issue 3/2011

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Abstract

Aim

The operative note needs to be an accurate and legible account of events occurring in the surgeon’s theatre. We set out to discover if operative notes within a British District General Oral and Maxillofacial Surgery department adhered to Royal College of Surgeons (England) guidelines.

Method

We audited 100 consecutive Oral and Maxillofacial Surgery operations performed within general theatres. As an intervention we designed and piloted a paper based Operative Note Proforma and re-audit was undertaken.

Results

Initial audit showed results lacking in certain areas. At re-audit all audit criteria showed improvement. The mean percentage of data point inclusion rose from 76.1 to 98.3% (0.001 < P-value < 0.005).

Conclusion

Previous papers have discussed various methods of improving operative note standards. We present statistical evidence for the use of an Operative Note Proforma to improve operative note standards within Oral and Maxillofacial Surgery.
Appendix
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Metadata
Title
Improving the Standard of Operative Notes within an Oral and Maxillofacial Surgery Department, using an Operative Note Proforma
Authors
Karl Payne
Keith Jones
Andrew Dickenson
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Journal of Maxillofacial and Oral Surgery / Issue 3/2011
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-011-0231-z

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