Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Documentation in orthopaedic surgery - do integrated care pathways work?

John R Crawford1, Michael Shanahan

  • 1Department of Trauma and Orthopaedics, The Ipswich Hospital, Ipswich, Suffolk, UK. jrcrawford@doctors.org.uk

Annals of the Royal College of Surgeons of England
|July 2, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical outcomes and delayed proton therapy following endoscopic endonasal resection of large and giant pediatric craniopharyngiomas.

Neurosurgical focus·2026
Same author

Molecular Profiling of Olfactory Neuroblastoma Using the AACR Project GENIE Database.

Journal of neurological surgery. Part B, Skull base·2026
Same author

Systematic design of combination therapy by targeting master regulators of coexisting diffuse midline glioma cell states.

Nature genetics·2026
Same author

The RNA-binding protein Imp1 promotes a Spdef transcriptional program and mucus fucosylation during necrotizing enterocolitis.

bioRxiv : the preprint server for biology·2026
Same author

Intracranial mesenchymal tumor, FET::CREB fusion-positive: An integrative analysis of 81 cases.

Neuro-oncology·2026
Same author

Patterns of brain-wide associations reflect socioeconomics.

bioRxiv : the preprint server for biology·2025
Same journal

A prospective randomised controlled trial comparing open and laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis in a low-middle-income country setting.

Annals of the Royal College of Surgeons of England·2026
Same journal

Designing sustainable robotic surgery for NHS scale-up: direct electricity measurement and an implementation-ready energy mitigation bundle in colorectal cancer resections.

Annals of the Royal College of Surgeons of England·2026
Same journal

Trends and causes of litigation in paediatric surgery within the National Health Service (NHS) England: a 19-year analysis.

Annals of the Royal College of Surgeons of England·2026
Same journal

Laparoscopic-assisted ERCP is a safe procedure with good outcomes: experience from a single high-volume upper GI unit.

Annals of the Royal College of Surgeons of England·2026
Same journal

The incidence of complex regional pain syndrome following total knee arthroplasty: a prospective multicentre observational study of 1,026 patients with no cases identified according to the Budapest criteria.

Annals of the Royal College of Surgeons of England·2026
Same journal

Can a generic fracture fixation assessment tool be used to assess quality of distal radius fracture fixation, and predict fixation failure?

Annals of the Royal College of Surgeons of England·2026
See all related articles

Integrated care pathways (ICPs) in orthopaedic surgery showed lower medical notation quality and slower information retrieval compared to traditional record keeping. Both methods had frequent omissions, indicating room for improvement in surgical documentation.

Area of Science:

  • Orthopaedic Surgery
  • Medical Record Keeping
  • Healthcare Quality Improvement

Background:

  • Integrated care pathways (ICPs) are increasingly used in orthopaedic surgery.
  • Traditional record keeping is the established method for patient documentation.

Purpose of the Study:

  • To compare the quality of medical notation between ICPs and traditional record keeping in orthopaedic surgery.
  • To assess the time efficiency of information retrieval from both documentation systems.

Main Methods:

  • A comparative study involving 53 total hip replacements (ICP notation) and 30 total knee replacements (traditional notation).
  • Records were evaluated using a standardized scoring system based on Royal College of Surgeons guidelines.
  • Scored elements included admission clerking, subsequent entries, consent, operation notes, and discharge letters.

Related Experiment Videos

Main Results:

  • Traditional records achieved a significantly higher overall quality score (70%) compared to ICP records (62%) (P = 0.001).
  • Traditional records scored higher for initial clerking, subsequent entries, and consent forms.
  • Information retrieval was 35% slower from ICP records (P < 0.001).

Conclusions:

  • The quality of medical record keeping was superior with traditional notation over established ICPs in this orthopaedic surgery cohort.
  • Both ICP and traditional methods exhibited a high frequency of documentation omissions.
  • Further improvements in surgical documentation practices are warranted for both ICPs and traditional methods.