@rahat2021 | Surgical note writing or operation note writing is a critical component of medical records. This is the only document which informs of the procedure, any complications occurred and safety checks. Surgical notes must be written with completeness, clarity, promptly and should be signed off by the Surgeon in charge of the case or his/her delegate.
#SurgicalNoteWriting, #MedicalDocumentation, #OperativeReports, #SurgicalNotes, #ClinicalDocumentation, #MedicalCharting, #PatientRecords, #HealthcareDocumentation, #SurgeryDocumentation, #SurgicalProcedureNotes, #SurgicalDocumentationGuidelines, #SurgeonNotes, #MedicalTranscription, #MedicalRecording, #SurgicalRecordKeeping, #HealthcareRecordManagement, #MedicalChartNotes, #SurgicalRecordAccuracy, #MedicalRecordBestPractices, #PatientCareDocumentation.
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Collard B, Royal A. The use of abbreviations in surgical note keeping. Annals of Medicine and Surgery. 2015 Jun 1;4(2):100-2.
Al Hussainy H, Ali F, Jones S, McGregor-Riley JC, Sukumar S. Improving the standard of operation notes in orthopaedic and trauma surgery: the value of a proforma. Injury. 2004 Nov 1;35(11):1102-6.
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#surgicalnotes #surgicalnote #surgeryteaching #obgyn #medicaleducation #fcps #mcps