Operative notes do not reflect reality in laparoscopic cholecystectomy

Abstract

Operative notes do not adequately represent the actual LCs performed as they describe fewer important procedural steps. It is suggested that operative notes should include video recordings.

Imaging for Quality Control: Comparison of Systematic Video Recording to the Operative Note in Colorectal Cancer Surgery. A Pilot Study

“…However, postoperatively, it cannot be clearly reproduced what exactly occurred during the surgical procedure. Currently, the only source of technical information about the surgical procedure is the operative note, which has been shown to be subjective and lacking in critical information 16. Systematic video registration of the procedure might be a solution, adding objective information to the traditional operative note.…”

Video-assisted surgery: suggestions for failure prevention in laparoscopic cholecystectomy

“…It has also been found that the accuracy of reported intraoperative notes on LC contains only onequarter of the steps actually including in LC, which indicates that aforementioned shortcutting is made also in reporting e.g. (Wauben et al 2011). These issues could be considered as problems relating to standardization.…”

Driving Surgical Quality Using Operative Video

“…Unfortunately, operative notes alone often omit critical components of an operation when compared to video recording 4 ; routine surgical recording would add objectivity and assist quality improvement efforts. Laparoscopic footage can be easily retrieved from operating room recorders while open procedures may be captured using wearable technologies.…”

“…4 Rather than transmit patient photographs and video over nonencrypted cellular and email systems, as has become commonplace, this integration would reduce patient privacy loss. A concomitant benefit might be the Hawthorne effect: an improvement in quality due to awareness of video recording.…”