Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Warwick Dean NGAN KEE (麻醉及深切治疗学系) |
| 刘子建教授 (妇产科学系) |
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| 数位物件识别号 (DOI) ○○@http://aims.cuhk.edu.hk/converis/portal/Publication/4$@○○ |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/4WOS source URL
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摘要We performed a retrospective analysis to assess the content and accuracy of operative and anaesthetic records for Caesarean section in a large unit. The obstetric record was considered adequate if it included patient identification, participating doctors, operative date, title, details and findings and a signature. The anaesthetic record was evaluated by The Australian and New Zealand College of Anaesthetists guidelines. We analysed 10http://aims.cuhk.edu.hk/converis/portal/Publication/4 operative and 101 anaesthetic records. There was inadequate identification in 17 (16.3%) of the operative records. Documentation of a previous scar or the presence or absence of intraabdominal adhesions was incomplete in 22 of the 35 patients (63%) with a previous laparotomy. Sixty per cent of records had incomplete skin closure information. Common anaesthetic record deficiencies were patient position, patient airway, investigation results and postoperative plan. Our findings identified deficiencies that could lead to inadequate medical care and indicate the need for improved standards of perioperative records.
着者Roach VJ, Lau TK, Kee WDN, Wormald PJ
期刊名称AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
出版年份1998
月份5
日期1
卷号38
期次2
出版社AUSTRALIAN NZ J OBSTET GYNAEC
页次166 - 169
国际标準期刊号000http://aims.cuhk.edu.hk/converis/portal/Publication/4-8666
语言英式英语
Web of Science 学科类别Obstetrics & Gynecology; OBSTETRICS & GYNECOLOGY
