Laparotomy operative note template constructed through a modified Delphi method
| Autor: | Sharon O’Leary, Ruth Churley-Strom, Lolonya Moore, Bonita Singal |
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| Rok vydání: | 2008 |
| Předmět: |
Operative note
medicine.medical_specialty Delphi Technique medicine.medical_treatment MEDLINE Delphi method Medical malpractice Documentation Medical Records Pregnancy Laparotomy Malpractice medicine Humans Medical physics Accreditation business.industry Obstetrics and Gynecology United States Surgery Obstetrics Health Care Surveys Female Joint Commission on Accreditation of Healthcare Organizations business |
| Zdroj: | American journal of obstetrics and gynecology. 200(5) |
| ISSN: | 1097-6868 |
| Popis: | Objective An operative note is indispensable to physician documentation and decision-making; however, there are no accepted standards for operative note content. Our aim was to use a modified Delphi consensus-building method to construct a uniform operative note template for laparotomy. Study Design Using Joint Commission on Accreditation of Healthcare Organizations requirements, literature review, and feedback from 15 medical malpractice defense attorneys, we compiled a draft operative note template of 31 elements. We surveyed 37 Association of Professor of Gynecology and Obstetrics/Solvay scholars asking for their input on inclusion of each item as essential content of the operative note. Results Two iterations of the survey were required to reach a predetermined 75% level of consensus. Nine elements were eliminated from the template: 6 original and 3 expert-suggested elements. Conclusion We provide an operative note template that was compiled through a Delphi process. |
| Databáze: | OpenAIRE |
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