Introduction Identifying errors in documentation can improve the quality of medical records,
healthcare services and health care systems, and thus provide a good framework for …

Introduction: Clinical record-keeping is a crucial part of professional practice and the
delivery of quality healthcare. Poor intraoperative recording contributes to poor patient safety …

Background: Perioperative anaesthesia record completeness is very essential skill of the
anaesthesia profession at the time of operation in the health setting. During perioperative …

Objectives The number of surgeries performed in the United States has increased over the
past two decades, with a shift to the ambulatory setting. Perioperative complications and …

Methods: A descriptive cross-sectional study was conducted from May 1 to July 31, 2021, in
the postoperative ward of Kathmandu Medical College, which is a multispecialty tertiary care …

Abstract Purpose Beginning January 1, 2022, the Council on Accreditation is requiring
student registered nurse anesthetists (SRNAs) matriculating into nurse anesthesia programs …

Background Anesthesia record is an essential part of perioperative patient management
and, it is one of the global patient safety challenges. The aim of this study is to assess the …

Objective Perioperative initiation of opioids continues to be a major contributor to chronic
use, misuse and diversion in regional areas. There is considerable effort to mitigate harm …

Abstract Background and Objective: Many previous studies assessing the completeness of
perioperative documentation of surgical patients were reported to be inadequate and …

The completeness of anesthesia records both electronically and handwritten is an important
measure of information during perioperatives, as well as a legal document against …