title: Bariatric operative reporting: Quality assessment and perceptions among bariatric surgeons.
abstract: BACKGROUND
  The quality of narrative operative notes is poor. No investigation has previously addressed operative reporting specifically in bariatric surgery.
  
  
  OBJECTIVE
  To evaluate surgeons' perceptions of the quality of operative reporting in bariatric surgery and compare this to an audit of Roux-en-Y gastric bypass (RYGB) narrative reports using validated quality indicators.
  
  
  METHODS
  University hospital, Canada.
  
  
  METHODS
  A Web-based survey was distributed to bariatric surgeons across Canada. Perceptions regarding the quality of reporting were gathered using a Likert scale (modified Structured Assessment Format for Evaluating Operative Reports) and free text fields. Forty RYGB narrative reports were analyzed against established quality indicators and compared to respondent's perceptions based on themes.
  
  
  RESULTS
  Twenty-four of 34 bariatric surgeons (71%) completed the survey. The most commonly performed procedures were RYGB and sleeve gastrectomy (96% and 100%, respectively). Currently, 70.8% perform a traditional narrative report. The average Structured Assessment Format for Evaluating Operative Reports score for narrative dictations by bariatric surgeons was neutral (27.9/40). The lowest scoring items were the "description of indications" (2.9/5) and "succinctness" (3.3/5). Opinions reflected a need for an immediately generated, standardized, template-based report to improve the quality and accessibility of operative documentation. The quality audit reinforced respondents' perceptions. Reports included only 62.0%±6.6% of quality indicators, with the lowest scoring areas being "patient details," "preoperative events," and "postoperative details" (41.1%, 32.4%, and 31.7%, respectively).
  
  
  CONCLUSIONS
  This survey revealed a perception of mediocre quality of narrative dictations. This was reinforced by an audit of RYGB operative reports. Future investigations should focus on improving this form of operative communication.
authors.affiliation: Department of Surgery, University of Manitoba, Winnipeg, Canada.
authors.forename: Shannon
authors.initials: S
authors.lastname: Stogryn
authors.affiliation: Department of Surgery, University of Manitoba, Winnipeg, Canada.
authors.forename: Krista
authors.initials: K
authors.lastname: Hardy
authors.affiliation: Department of Surgery, University of Manitoba, Winnipeg, Canada. Electronic address: avergis@sbgh.mb.ca.
authors.forename: Ashley
authors.initials: A
authors.lastname: Vergis
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D052938:Bariatric Medicine / Q000592:standards*; D005260:Female; D015390:Gastric Bypass / Q000592:standards*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008499:Medical Records / Q000592:standards; D008875:Middle Aged; D010465:Perception; D011785:Quality Assurance, Health Care; D012107:Research Design / Q000592:standards; D012189:Retrospective Studies
keywords: Bariatric surgery; Operative reporting; Quality