Structured operative reporting: a randomized trial using dictation templates to improve operative reporting.

@article{Gillman2010StructuredOR,
  title={Structured operative reporting: a randomized trial using dictation templates to improve operative reporting.},
  author={Lawrence M Gillman and Ashley Vergis and Jason Park and Sam Minor and Mark Taylor},
  journal={American journal of surgery},
  year={2010},
  volume={199 6},
  pages={846-50}
}
BACKGROUND Few studies have addressed the quality of dictated operative reports (ORs). This study documents changes in resident dictation after the introduction of a standardized OR template. METHODS Twenty residents dictated an OR based on a surgical procedure video. Residents were randomized to receive an OR template or no intervention. Residents dictated another report 3 months later. Outcomes measures were dictation quality using a previously validated tool and resident comfort with… CONTINUE READING