Adequacy of Operative Notes for Orthopaedic Procedures: A Quality Improvement Project
Simple, low-cost interventions such as visible documentation standards, typed templates, and postoperative checklists produced meaningful improvements in legibility and completion of key operative note parameters. Sustaining and expanding these measures, particularly through electronic templates with mandatory data fields and ongoing audit cycles, could further enhance the accuracy, completeness, and medicolegal robustness of operative documentation within surgical practice.
Authors
- Hassan Imtiaz
- Georgios Kouklidis
- Asma Ghafoor Jan (ORCID: https://orcid.org/0000-0002-5406-7230)
- Adam Khan Rahim
- T. Said Ahmed
- Omran Alkhatib
Institutions
- Poole Hospital (GB)
- Hayatabad Medical Complex (PK)
- Poole Hospital NHS Foundation Trust (GB)
Publication Details
- Journal
- Cureus
- Published
- 2025-11-05
- DOI
- https://doi.org/10.7759/cureus.96179
- Primary Topic
- Digital Imaging in Medicine
- Type
- article
- Field-Weighted Citation Impact
- 0.00