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Table 2 List of 29 core standards, with comparison of handwritten and typed operation notes

From: Assessing the quality of operation notes: a review of 1092 operation notes in 9 UK hospitals

Core standards

Overall %

Range

% N/A

Handwritten %

Typed %

Chi-squared p value

1. Available on ward

87.8

44.3–100

-

94.9

83.9

<0.0001

2. Date

99.0

96.2–100

-

98.8

99.5

0.185

3. Time

25.3

1.1–91.3

-

19.4

36.5

<0.0001

4. Legible

97.9

93.2–100

-

96.5

99.8

<0.0001

5. Patient identifiers

97.6

83.7–100

-

95.7

99.8

<0.0001

7. Surgeon named

99.3

96.6–100

-

99.0

99.5

0.312

8. Assistant named

80.5

57.9–97.5

2.7

76.3

77.8

0.007

9. Anaesthetist named

79.9

42.4–95.2

3.2

78.5

78.6

0.110

10. Anaesthetic given

60.9

35.6–85.2

-

58.1

68.3

<0.0001

11. Consultant responsible

73.6

37.1–97.6

-

72.2

74.0

0.510

12. Diagnosis

76.3

57.6–98.8

-

70.1

76.1

0.026

13. Operation named

99.2

97.4–100

-

99.4

98.8

0.345

14. Patient position

56.8

37.3–77.8

-

47.4

64.3

<0.0001

15. Incision/Approach

90.0

76.7–98.8

1.4

86.1

93.2

<0.0001

16. Exposure

52.8

18.6–73.9

4

52.1

53.4

0.75

17. Elective/Emergency

23.2

0.5–52.3

-

30.1

23.5

0.015

18. Findings described

80.1

59.8–93.8

-

68.9

88.6

<0.0001

19. Additional procedures performed and why

50.5

27.1–75.0

1.5

42.9

56.7

<0.0001

20. Tissue removed/added/altered

62.0

31.7–87.7

-

46.4

71.5

<0.0001

21. Prosthesis

47.9

31.7–87.7

41.1

43.4

47.6

0.209

22. Serial no of prostheses

18.1

0–72.8

41.1

11.0

6.6

0.006

23. Serial no of prostheses recorded elsewhere

42.1

5.4–78

41.1

37.2

42.5

0.224

24. Complications described

20.6

0–79

-

16.6

18.2

0.486

25. Closure

81.0

7.6–97.5

3.5

89.0

89.4

0.184

26. Postop instructions

97.6

89.4–100

-

94.5

99.7

<0.0001

27. Antibiotics

53.1

42.6–79.7

-

48.7

50.6

0.530

28. VTE prophylaxis

50.6

40.9–67.8

-

45.6

51.4

0.056

29. Signature

81.9

2.5–100

-

95.1

60.2

<0.0001