髋关节置换手术中手术记录的质量：我们是否遵循了英国骨科协会的良好实践指南？

Quality of operation notes in orthopaedic hip arthroplasty surgery: are we complying with British Orthopaedic Association's guide to good practice?

作者信息

Menakaya C U, Ingoe H, Malhotra R, Shah M, Boddice T, Mohsen A

机构信息

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Anlaby Road, Hull, HU3 2JZ.

Department of Orthopaedics, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary and Yorkshire and the Humber Postgraduate Deanery, University of Leeds.

出版信息

J Perioper Pract. 2013 Dec;23(12):273-6. doi: 10.1177/175045891302301201.

DOI:10.1177/175045891302301201

PMID:24404704

Abstract

This retrospective audit evaluates the compliance of our operation notes with the British Orthopaedic Society Primary Hip Arthroplasty 'A guide to good practice' using a 24-data point question (BOA 2006). Ninety-nine notes reviewed, of which 94% had patient identifiers, the surgical team was documented in 92.5%, post-operative instruction in 97%, and prosthesis stability in 97% of cases. Despite high standards, we did not achieve the 100% gold standard. We suggest that increased awareness of the 24-point BOA guideline via education and proformas would help to ensure better practice

摘要

这项回顾性审计使用一个包含24个数据点的问题（英国骨科协会，2006年），评估了我们的手术记录与英国骨科协会原发性髋关节置换术《良好实践指南》的符合情况。共审查了99份记录，其中94%有患者标识符，92.5%记录了手术团队，97%记录了术后指导，97%记录了假体稳定性。尽管标准很高，但我们并未达到100%的黄金标准。我们建议，通过教育和格式表单提高对英国骨科协会24点指南的认识，将有助于确保更好的实践。