An audit of anaesthetic records was performed to determine the rate of completion and adequacy of such records. Less than one third of all records was complete and legible. In one quarter of all anaesthetics, no record of any kind was made. The remaining 45% were all incomplete or illegible in some or all respects. It is concluded that the standard of record-keeping in this random sample falls far short of the minimum acceptable standard.Keywords: Anaesthesia, Anaesthetic records, Medicolegal
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Joh...
Purpose: Surgical audit and peer review are important strategies in maintaining standards of care in...
Background: Operation note records are important tools for ensuring patients’ continuity of care, fo...
Background: The anaesthetic record documents how individual patients respond to surgery and anaesthe...
Background: Record keeping is important in every organization, especially in health facilities. It g...
Background: The anaesthetic preoperative evaluation of a patient is the clinical foundation of peri...
A CAJM audit article.The critical incident system is now well established as a concept and activit...
Objective. To investigate errors in administering drugs by anaesthetists working in public hospitals...
OBJECTIVES: The purpose of this study is to evaluate the completeness of anesthesia recording before...
OBJECTIVE: To check compliance of anaesthetist to current policies set for the use of medication wit...
Purpose: The lack of adequate perioperative documentation has legal implications and can potentially...
Background: Obstetric anesthesia practice documentation has been poorly audited in sub-Saharan Afric...
Clinical documentation is a critical tool in supporting care provided to patients. Sound documentati...
Objective: To audit the recently established Critical Incident Reporting System in the Department of...
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in p...
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Joh...
Purpose: Surgical audit and peer review are important strategies in maintaining standards of care in...
Background: Operation note records are important tools for ensuring patients’ continuity of care, fo...
Background: The anaesthetic record documents how individual patients respond to surgery and anaesthe...
Background: Record keeping is important in every organization, especially in health facilities. It g...
Background: The anaesthetic preoperative evaluation of a patient is the clinical foundation of peri...
A CAJM audit article.The critical incident system is now well established as a concept and activit...
Objective. To investigate errors in administering drugs by anaesthetists working in public hospitals...
OBJECTIVES: The purpose of this study is to evaluate the completeness of anesthesia recording before...
OBJECTIVE: To check compliance of anaesthetist to current policies set for the use of medication wit...
Purpose: The lack of adequate perioperative documentation has legal implications and can potentially...
Background: Obstetric anesthesia practice documentation has been poorly audited in sub-Saharan Afric...
Clinical documentation is a critical tool in supporting care provided to patients. Sound documentati...
Objective: To audit the recently established Critical Incident Reporting System in the Department of...
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in p...
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Joh...
Purpose: Surgical audit and peer review are important strategies in maintaining standards of care in...
Background: Operation note records are important tools for ensuring patients’ continuity of care, fo...