https://www.selleckchem.com/pr....oducts/xl413-bms-863
Inadequate medical documentation has been associated with a higher rate of adverse events and may have medicolegal consequences. An accurate admission note is critical as it is frequently referred to during inpatient stay, particularly when the patient is acutely unwell and during handover of care. We set out to implement a surgical admission proforma and evaluate its impact on the quality of acute surgical admission notes. A standardised, structured admission proforma for use with all emergency general surgery patients in a bu