Shannon Stogryn1, Krista M Hardy2, Ahmed M Abou-Setta3, Kathleen M Clouston4, Jennifer Metcalfe5, Ashley S Vergis6. 1. University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Surgery; St. Boniface Hospital, Z3039-409 Taché Ave, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: sstogryn@gmail.com. 2. University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Surgery; St. Boniface Hospital, Z3039-409 Taché Ave, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: khardy@sbgh.mb.ca. 3. Rady Faculty of Health Sciences, Max Rady College of Medicine, George and Fay Yee Centre for Healthcare Innovation-Knowledge Synthesis Unit and Review, Third Floor, Chown Building, 753 McDermot Avenue, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada. Electronic address: Ahmed.Abou-setta@umanitoba.ca. 4. University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Surgery; St. Boniface Hospital, Z3039-409 Taché Ave, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: kclouston@sbgh.mb.ca. 5. University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Surgery; St. Boniface Hospital, Z3039-409 Taché Ave, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: jenmetcalfe@gmail.com. 6. University of Manitoba, Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Surgery; St. Boniface Hospital, Z3039-409 Taché Ave, Winnipeg, Manitoba, R2H 2A6, Canada. Electronic address: avergis@sbgh.mb.ca.
Abstract
BACKGROUND: The operative report is vital for patients and central to surgical quality assessment. Narrative operative reports are often poor quality. Synoptic reporting can improve documentation. The objective was to identify and appraise studies comparing synoptic and narrative operative reporting. DATA SOURCES: A systematic review of the literature was performed. The primary outcome was completion of critical elements for an operative report. Additional secondary outcomes were measured. Meta-analysis was performed where possible. Quality analysis was performed using Newcastle-Ottawa Scale (NOS). RESULTS: 1471 citations were identified; 16 studies included. Mean NOS was 7.09 out of 9 (+/-- SD 1.73). Meta-analysis demonstrated that synoptic reporting was significantly more complete (SMD 1.70, 95% CI 1.13 to 2.26; I2 98%). Completion time was shorter with synoptic reporting (mean difference -0.86, 95% CI -1.17 to -0.55). Secondary outcomes favoured synoptic reporting. CONCLUSIONS: Synoptic reporting platforms outperform narrative reporting and should be incorporated into surgical practice.
BACKGROUND: The operative report is vital for patients and central to surgical quality assessment. Narrative operative reports are often poor quality. Synoptic reporting can improve documentation. The objective was to identify and appraise studies comparing synoptic and narrative operative reporting. DATA SOURCES: A systematic review of the literature was performed. The primary outcome was completion of critical elements for an operative report. Additional secondary outcomes were measured. Meta-analysis was performed where possible. Quality analysis was performed using Newcastle-Ottawa Scale (NOS). RESULTS: 1471 citations were identified; 16 studies included. Mean NOS was 7.09 out of 9 (+/-- SD 1.73). Meta-analysis demonstrated that synoptic reporting was significantly more complete (SMD 1.70, 95% CI 1.13 to 2.26; I2 98%). Completion time was shorter with synoptic reporting (mean difference -0.86, 95% CI -1.17 to -0.55). Secondary outcomes favoured synoptic reporting. CONCLUSIONS: Synoptic reporting platforms outperform narrative reporting and should be incorporated into surgical practice.
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