№ lp_1_19550
File format: docx
Character count: 15261
File size: 56 KB
A detailed record of multiple medical consultations with various patients, providing histories, examination findings, test requests, and management plans for different health conditions.
Date:
15-Sep
Region / City:
Doughnut Health Centre
Subject:
Medical consultation
Document Type:
Medical record
Author:
Dr. XX
Target Audience:
Healthcare professionals
Effective Period:
September 2023
Date of Approval:
15-Sep
Date of Changes:
None
Note:
Context description
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2017
Region / City:
Global
Theme:
Economics, Sustainability
Document Type:
Article
Author:
Kate Raworth
Target Audience:
Policymakers, Economists, Environmentalists
Period of Validity:
Ongoing
Approval Date:
2017
Date of Changes:
N/A
Year:
2025-2026
Region / City:
University of Colorado
Topic:
Clinical Education, Surgical Medicine
Document Type:
Course Syllabus
Institution:
University of Colorado
Author:
Roberta Knott, MPAS, PA-C
Target Audience:
PA Students, Clinical Instructors
Period of Effect:
2025-2026 Academic Year
Date Approved:
Not specified
Date of Revisions:
Not specified
Note:
Date
Topic:
Gender Affirming Surgery Support
Document Type:
Letter of Support
Year:
2023
Region / City:
United Kingdom
Topic:
Pre-operative medical screening, Radiology
Document type:
Clinical guideline
Institution:
Royal College of Radiologists
Author:
D Howlett, D Remedios
Target Audience:
Healthcare professionals involved in preoperative assessments
Effective period:
Not specified
Approval date:
7 January 2008
Last reviewed:
14 April 2023
Context:
Clinical guideline for the use of pre-operative chest radiographs in elective surgery.
Audit Lead:
Dr. Jane Doe
Audit Period:
1st January 2024 - 30th June 2024
Objectives:
To assess the quality and safety of minor surgical procedures in our practice. To identify areas for improvement in minor surgical practices. To ensure compliance with NICE guidelines and local clinical standards.
Background:
Minor surgical procedures are essential for treating various conditions in a timely and effective manner. Ensuring these procedures are performed safely and according to established guidelines is crucial for patient outcomes.
Note:
Criteria and Standards
Pre-operative Assessment:
Documented patient history, physical examination, and pre-operative diagnosis. Standard: 100% compliance.
Consent Process:
Informed consent obtained and documented. Patients given procedural information a minimum of 2 weeks before the procedure. Standard: 100% compliance.
Procedural Technique:
Adherence to aseptic technique and procedural protocols. Standard: 100% compliance.
Post-operative Care:
Monitoring and documentation of recovery, patient education, and discharge instructions. Standard: 100% compliance.
Infection Rate:
Rate of postoperative infections. Standard: 1% or less.
Re-review Rate:
Rate of patients needing to return for clinical review. Standard: 5% or less.
Diagnostic Accuracy:
Concordance between preoperative and histological diagnoses. Standard: 90% or greater.
Patient Satisfaction:
Patient-reported satisfaction with treatment. Standard: 90% or greater.
Data Collection:
Patient records, procedure logs, consent forms, patient satisfaction surveys. Sample size: 100 minor surgical procedures.
Data Analysis:
Statistical analysis, qualitative analysis of patient feedback.
Results Summary:
Pre-operative Assessment: 95%, Consent Process: 98%, Procedural Technique: 97%, Post-operative Care: 93%, Infection Rate: 0%, Re-review Rate: 5%, Diagnostic Accuracy: 90%, Patient Satisfaction: 85%.
Discussion:
Overall, high standards of care were observed, with improvements needed in documentation, infection control, and patient education.
Conclusions:
Quality of minor surgical practices is high, but areas for improvement exist in documentation, infection control, and patient education.
Documentation Improvement:
Dr. Jane Doe, target date: 31st August 2024.
Protocol Review:
Dr. Jane Doe, target date: 31st December 2024.
Infection Control Measures:
Nurse James Smith, target date: 31st August 2024.
Patient Education Enhancement:
Nurse James Smith, target date: 31st August 2024.
Re-audit:
Follow-up audit in January 2025. Proposed timeline: January to March 2025.
Note:
Year MD and/or PhD awarded
Contextual description:
This is an academic self-reflection and reporting document for members of the Department of Surgery, primarily focused on annual goals, teaching quality, research, and professional development activities.
Institution:
Baylor College of Medicine
Department:
Otolaryngology – Head & Neck Surgery
Document type:
Course overview document
Revision date:
April 16, 2021
Academic level:
Medical students
Rotation type:
Selective rotation
Rotation duration:
Two weeks
Clinical sites:
Ben Taub General Hospital; Michael E. DeBakey Veterans Affairs Medical Center; Texas Children’s Hospital
Geographic location:
Texas Medical Center, Houston, Texas
Course prerequisites:
None
Course directors:
Sunthosh Sivam, MD
Course coordinator:
Evelyn Trevino
Educational framework:
BCM Core Competencies and Graduation Goals
Assessment methods:
Case log; evaluations; E*value student performance assessment
Related policies:
Baylor College of Medicine Teacher-Learner Compact
Year:
2024
Region / City:
Unity State, Bentiu State Hospital, Rubkona County
Topic:
Trachomatous Trichiasis Surgery Audit
Document Type:
Call for Expression of Interest (EOI)
Organization:
Christian Blind Mission (CBM)
Target Audience:
Ophthalmologists, certified WHO Trichiasis surgery trainers
Period of Activity:
November 2024
Approval Date:
Not specified
Amendment Date:
Not specified
Consultancy Fee:
USD 6,948
Closing Date:
15th November 2024
Location:
Bentiu State Hospital, Rubkona County, Unity State
Consultancy Duration:
18th - 26th November 2024
Expert Profile:
Ophthalmologist or certified WHO Trichiasis Surgery Trainer
Description:
Consultancy request for an ophthalmologist or certified WHO Trichiasis surgery trainer to audit the quality of Trachomatous Trichiasis surgeries performed in Unity State, South Sudan, by reviewing post-operative follow-up data and surgical practices.
Year:
2023
Region / City:
Canberra
Topic:
Peri-operative care for adult patients with disabilities and/or sensory considerations
Document Type:
Guideline
Organ / Institution:
Canberra Health Services (CHS)
Author:
Not specified
Target Audience:
Healthcare professionals, especially those working in peri-operative care
Effective Period:
Not specified
Approval Date:
Not specified
Revision Date:
Not specified
Context:
A guideline aimed at providing best practices for peri-operative care of adults with disabilities, accessibility needs, or sensory considerations within the Canberra Health Services surgical units.
Year:
2025–2026
Institution:
University of Kansas Medical Center
Department:
Department of Surgery
Program:
General Surgery Residency
Type of document:
Residency program handbook
Region:
Kansas City, Kansas, United States
Governing standards:
Accreditation Council for Graduate Medical Education (ACGME)
Program size:
Six residents per year
Participating institutions:
University of Kansas Medical Center, VA Hospitals in Kansas City and Leavenworth, community hospitals in Topeka, Shawnee Mission, and Garden City
Leadership:
Chair of Surgery
Historical period covered:
1931–2025
Educational components:
Clinical rotations, didactic conferences, research, simulation education
Policies covered:
Duty hours, call, moonlighting, professionalism, parental support, resident evaluation and promotion
Academic focus:
General surgery education and training
Note:
Year
Subject:
Bariatric Surgery, Obesity Treatment
Document Type:
Medical Guideline
Target Audience:
Healthcare professionals
Context:
A medical guideline outlining the criteria for bariatric surgery coverage for adults and adolescents with obesity, including specific requirements for pre-surgical evaluation and post-operative care.
Year:
2026
Region / City:
USA
Theme:
Pediatric and Congenital Cardiology, Cardiothoracic Surgery
Document Type:
Survey
Organization / Institution:
U.S. News & World Report
Author:
Unknown
Target Audience:
Medical Institutions, Healthcare Professionals
Period of Action:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2025
Region / City:
Yorkshire and the Humber
Subject:
Healthcare procurement, oral surgery services
Document Type:
Contract review
Organization / Institution:
NHS Humber and North Yorkshire Integrated Care Board (HNY ICB)
Author:
Independent Patient Choice and Procurement Panel
Target Audience:
Healthcare providers, procurement teams, regulatory bodies
Validity Period:
From 1 April 2025 (initial contract period)
Approval Date:
13 January 2025
Amendment Date:
7 March 2025
Note:
Year
Year:
2026
Region / City:
Mesquite, TX
Subject:
Police Records Request
Document Type:
Request Form
Organization:
Mesquite Police Department
Author:
Mesquite Police Department
Target Audience:
General public, legal professionals, requestors of police records
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Context
Year:
2025
Note:
Region / City
Theme:
Data definitions, Medical records, Extract files
Document Type:
Technical document
Organization / Institution:
Department of Veterans Affairs Office of Information and Technology
Author:
Booz Allen Hamilton, Liberty IT Solutions
Target Audience:
DSS/MCA teams, IT professionals
Contextual description:
This document provides technical details on data extraction routines and data definitions for various medical records files used in the Decision Support System.
Year:
2022
Region / City:
East Sussex
Subject:
Records Management
Document Type:
Job Description
Organization / Institution:
East Sussex County Council
Author:
East Sussex County Council
Target Audience:
Potential applicants for the Records Clerk position
Period of Action:
Ongoing
Approval Date:
October 2022
Date of Amendments:
October 2022
Year:
2014
Region / City:
United States
Topic:
Request for Medical Records
Document Type:
Form
Organization / Institution:
National Archives and Records Administration
Author:
National Personnel Records Center
Target Audience:
Military personnel, retirees, federal employees, and their dependents
Effective Period:
Ongoing
Approval Date:
May 2014
Date of Amendments:
None