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.

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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
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article

Adequacy of Operative Notes for Orthopaedic Procedures: A Quality Improvement Project

Hassan Imtiaz, Georgios Kouklidis, Asma Ghafoor Jan, Adam Khan Rahim et al.
Cureus
Digital Imaging in Medicine
article

Adequacy of Operative Notes for Orthopaedic Procedures: A Quality Improvement Project

Hassan Imtiaz, Georgios Kouklidis, Asma Ghafoor Jan, Adam Khan Rahim, T. Said Ahmed, Omran Alkhatib
article en

Abstract

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.

CureusVol. 17(11)
Poole Hospital (GB), Hayatabad Medical Complex (PK), Poole Hospital NHS Foundation Trust (GB)
Openalex Percentile: Top 57%
Digital Imaging in Medicine
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