Prospective, Blinded Evaluation of Template-Based Cesarean Documentation Error in an Obstetric Training Program

Conclusions A high incidence of clinically significant documentation error was observed in a residency training program using standardized templates for cesarean operative reports. Incidence of major error decreased with increasing training, but minor error was similar across levels of training. These data suggest that measures should be taken to improve documentation accuracy in medical training to provide optimal obstetric care.
Source: Journal of Patient Safety - Category: Health Management Tags: Original Studies Source Type: research