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Audit of Anaesthetic Chart Documentation in Major Orthopaedic Surgery
Published online by Cambridge University Press: 15 August 2005
Abstract
Objective: To investigate the completeness of documentation of anaesthetic charts in elective orthopaedic anaesthesia.
Design: Data collection from medical records.
Setting: Orthopaedic department, teaching hospital.
Participants: Anonymous anaesthetic consultants participating in orthopaedic surgery.
Intervention: E-mail and verbal message regarding 2nd data collection to anaesthetic colleagues.
Main outcome measures: Documentation of data of variables on anaesthetic chart.
Results: Good documentation of most variables. An average improvement of 5.7% in data documentation, range of −2.7% to 24.7%. Poor documentation of blood loss and urinary output.
Conclusions: The importance of the anaesthetic chart cannot be underestimated. A close working relationship with ones colleagues in anaesthesia promotes a fuller use of the chart and contributes to its continued development as a source of information.
- Type
- Original Article
- Information
- British Journal of Anaesthetic & Recovery Nursing , Volume 6 , Issue 3 , September 2005 , pp. 51 - 53
- Copyright
- © 2005 Cambridge University Press