operative report

operative report

A document produced by a surgeon or other physician(s) who have participated in a surgical intervention, which contains a detailed account of the findings, the procedure used, the specimens removed, the preoperative and postoperative diagnoses, and names of the primary performing surgeon and any assistants
References in periodicals archive ?
7 per 10,000 administered doses per month, and operative report compliance increased from 12 percent, all the way up to 98 percent.
A review of the operative report did not reveal any intraoperative complications to suggest a ureteric injury at the time of graft placement.
For example, if the auditor is looking at a surgical procedure issue, he or she needs the operative report but should not be looking at the E&M notes that do not pertain to the surgery.
Brodman's operative report, which was dictated before complications arose and was never supplemented.
One seldom finds an operative report of procedures performed on such patients.
The operative report described a complete small bowel obstruction with a transition point just distal to a palpable intraluminal mass.
At her deposition, the defendant testified that she had a form and would check off boxes to indicate to her staff which standard paragraphs should be included in her operative report.
Hoffman then dictated his 2-page operative report and went across the street from the hospital to eat lunch with Dr.
The nurse has the operative report, along with any subsequent orders, discharge instructions and aftercare recommendations for patients heading home, which expedites the discharge process.
Perdikis) has resolved to change his operative report writing to ensure that he provides more accurate information than he did in (the tumor patient's) case.
Mills was listed as the "operator" on the operative report and actually signed the operative report, he did not participate in the surgery.