Facts about compliance of surgeons “An audit study of the quality of operation notes in the department of general surgery, King Faisal Hospital, Makkah, Saudi Arabia”
Abstract:Background: An accurate, complete, legible medical record implies accurate, complete organized assessment and management of the patient. Operation notes as one of the important patient's medical records are often produced as evidence in medico-legal cases. In a court of law, that which is not written down may be perceived as never having occurred. Poorly written and illegible notes, along with the use of confusing abbreviations, are a common source of weakness in a surgeon's defense. Objectives: This audit was… Show more
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