Considerations about the operation note

The operation note is an official document that is an indispensable part of the clinical history. Despite the fact that medical (care, teaching and investigative), legal and administrative functions are attributed to it, it frequently does not meet the specificities required in the wording. The perm...

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Main Author: Iliana Guerra Macias
Format: Article
Language:Spanish
Published: ECIMED 2023-04-01
Series:Revista Cubana de Medicina Militar
Subjects:
Online Access:https://revmedmilitar.sld.cu/index.php/mil/article/view/2653
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author Iliana Guerra Macias
author_facet Iliana Guerra Macias
author_sort Iliana Guerra Macias
collection DOAJ
description The operation note is an official document that is an indispensable part of the clinical history. Despite the fact that medical (care, teaching and investigative), legal and administrative functions are attributed to it, it frequently does not meet the specificities required in the wording. The permanent and continuous improvement of the professional performance of surgeons demands the rescue of the specificities for the preparation of such an important document. It is considered a specific professional skill for physicians in surgical specialties, as it is part of routine surgical practice and includes quantitative (formal and substantial) and qualitative (informational content) aspects, of mandatory compliance by specialists and residents in training. It constitutes an individual responsibility that must be controlled by directors and teachers of each surgical service. This work expresses the author's position on the necessary rescue of the quality of the preparation of the operation note as an essential part of the safety of the surgical patient.
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spelling doaj.art-d04938742f254704b26930b1f05dd6ec2023-06-17T04:25:56ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-04-01522e02302653e02302653757Considerations about the operation noteIliana Guerra Macias0Hospital Clinico Quirurgico Docente Dr. Ambrosio GrilloThe operation note is an official document that is an indispensable part of the clinical history. Despite the fact that medical (care, teaching and investigative), legal and administrative functions are attributed to it, it frequently does not meet the specificities required in the wording. The permanent and continuous improvement of the professional performance of surgeons demands the rescue of the specificities for the preparation of such an important document. It is considered a specific professional skill for physicians in surgical specialties, as it is part of routine surgical practice and includes quantitative (formal and substantial) and qualitative (informational content) aspects, of mandatory compliance by specialists and residents in training. It constitutes an individual responsibility that must be controlled by directors and teachers of each surgical service. This work expresses the author's position on the necessary rescue of the quality of the preparation of the operation note as an essential part of the safety of the surgical patient.https://revmedmilitar.sld.cu/index.php/mil/article/view/2653cirujanosdocentesespecialidades quirúrgicasgestión de la calidad totalmédicospacientesinforme operatorio.
spellingShingle Iliana Guerra Macias
Considerations about the operation note
Revista Cubana de Medicina Militar
cirujanos
docentes
especialidades quirúrgicas
gestión de la calidad total
médicos
pacientes
informe operatorio.
title Considerations about the operation note
title_full Considerations about the operation note
title_fullStr Considerations about the operation note
title_full_unstemmed Considerations about the operation note
title_short Considerations about the operation note
title_sort considerations about the operation note
topic cirujanos
docentes
especialidades quirúrgicas
gestión de la calidad total
médicos
pacientes
informe operatorio.
url https://revmedmilitar.sld.cu/index.php/mil/article/view/2653
work_keys_str_mv AT ilianaguerramacias considerationsabouttheoperationnote