Proforma for maxillofacial trauma.
Over a three-year period we devised, developed, and implemented a simple proforma, validated by a previous audit, to improve the accuracy of data collected on maxillofacial trauma. It covers both sides of an A4 sheet and functions as an aide-memoire for junior staff and prompts the comprehensive recording of all necessary medicolegal details should further documentation be required by the police, judiciary, or compensatory body.
Beds, Herts and Bucks Maxillofacial Network, UK. JASherman@doctors.org.uk
Jeremy
J
Sherman
Juliet
J
Kouchard
D057189:Checklist; D003288:Contusions / Q000175:diagnosis / Q000628:therapy; D003625:Data Collection / Q000592:standards; D019230:Dental Audit; D003792:Dental Records / Q000592:standards*; D003941:Diagnostic Techniques, Ophthalmological; D004282:Documentation / Q000592:standards; D057286:Electronic Health Records / Q000592:standards; D005147:Facial Bones / Q000293:injuries; D005568:Forms and Records Control; D006801:Humans; D022125:Lacerations / Q000175:diagnosis / Q000628:therapy; D008446:Maxillofacial Injuries / Q000175:diagnosis* / Q000628:therapy; D008485:Medical Audit; D008499:Medical Records / Q000592:standards*; D012307:Risk Factors; D012887:Skull Fractures / Q000175:diagnosis / Q000628:therapy; D018677:Tooth Injuries / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome