Literature DB >> 20609727

Structured operative reporting: a randomized trial using dictation templates to improve operative reporting.

Lawrence M Gillman1, Ashley Vergis, Jason Park, Sam Minor, Mark Taylor.   

Abstract

BACKGROUND: Few studies have addressed the quality of dictated operative reports (ORs). This study documents changes in resident dictation after the introduction of a standardized OR template.
METHODS: Twenty residents dictated an OR based on a surgical procedure video. Residents were randomized to receive an OR template or no intervention. Residents dictated another report 3 months later. Outcomes measures were dictation quality using a previously validated tool and resident comfort with dictation.
RESULTS: There was no overall difference in quality in the intervention group as measured by the Structured Assessment Form (SAF) (28.6 vs 30.0, P = .36) and Global Quality Ratings Scale (GQRS) (21.7 vs 21.8, P = .96). However, junior resident subgroup analysis revealed an improvement in the intervention group on both the SAF (23.2 vs 28.3, P = .02) and GQRS (17.1 vs 20.4, P = .02). Subjective comfort level improved in the intervention group (P = .02).
CONCLUSIONS: The operative dictation template can significantly improve resident comfort level with dictation and has the potential to improve the quality of junior resident dictations. Copyright 2010 Elsevier Inc. All rights reserved.

Mesh:

Year:  2010        PMID: 20609727     DOI: 10.1016/j.amjsurg.2009.06.030

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  4 in total

1.  Synoptic operative reporting: assessing the completeness, accuracy, reliability, and efficiency of synoptic reporting for Roux-en-Y gastric bypass.

Authors:  Shannon E Stogryn; Krista Hardy; Michael J Mullan; Jason Park; Christopher Andrew; Ashley Vergis
Journal:  Surg Endosc       Date:  2017-09-15       Impact factor: 4.584

2.  Differences between attendings' and residents' operative notes for laparoscopic cholecystectomy.

Authors:  Linda S G L Wauben; Richard H M Goossens; Johan F Lange
Journal:  World J Surg       Date:  2013-08       Impact factor: 3.352

3.  Quality of narrative operative reports in pancreatic surgery.

Authors:  Meagan E Wiebe; Lakhbir Sandhu; Julie L Takata; Erin D Kennedy; Nancy N Baxter; Anna R Gagliardi; David R Urbach; Alice C Wei
Journal:  Can J Surg       Date:  2013-10       Impact factor: 2.089

4.  Standardization of laparoscopic pelvic examination: a proposal of a novel system.

Authors:  Mohamed A Bedaiwy; Rachel Pope; Drisana Henry; Kristin Zanotti; Sangeeta Mahajan; William Hurd; Tommaso Falcone; James Liu
Journal:  Minim Invasive Surg       Date:  2013-12-30
  4 in total

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