The dangers resulting from inaccurate computer-based operative records.
The accuracy of a computer-based recording system of operative procedures was audited at a major district general hospital. The system is supposed to provide accurate records of theatre activity, to allow for improved nursing resource allocation and provide surgeons with a basic record of their operations. Mistakes were present in the details of 27% of the cases entered. Such inaccuracies highlight a major danger to surgeons with regard to their accountability for operations attributed to them. Mistakes can only cause further problems with regard to audit and future resource allocation.
Department of Otolaryngology, Royal Gwent Hospital, Newport.
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Knight
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Yardley
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Jones
D004282:Documentation / Q000592:standards; D006801:Humans; D008485:Medical Audit; D016347:Medical Records Systems, Computerized / Q000592:standards*; D009870:Operating Room Information Systems / Q000592:standards*; D011446:Prospective Studies; D013514:Surgical Procedures, Operative; D014852:Wales