Evidence map›Paper›PMID 40861569›Full record

ArticleCureus2025

Implementation of a Standardized Surgical Operative Note: A Clinical Audit at Atbara Teaching Hospital.

Abubakr Muhammed, Mustafa Awad, Mawada Taha, Shorouq Mohammed Ali, Moaid Abdallah Mohamed Alameen, Zainab Hussein Musa Mohamed, Mohamed Kamalaldein Hamad Mohamednour, Israa Isam Mohamed, Ahmed Shakir Ali Yousif, Ola Atif Mubarak Abdullah and 10 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Abubakr MuhammedSurgery, University of Gezira, Madani, SDN.
Mustafa AwadInternal Medicine, Sudan Medical Specialization Board, Khartoum, SDN.
Mawada TahaGeneral Surgery, The National Ribat University, Khartoum, SDN.
Shorouq Mohammed AliGeneral Surgery, Wad Madani University for Science and Technology, Wad Madani, SDN.
Moaid Abdallah Mohamed AlameenGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Zainab Hussein Musa MohamedDental Public Health, Sudan Medical Specialization Board, Khartoum, SDN.
Mohamed Kamalaldein Hamad MohamednourGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Israa Isam MohamedSurgery, Federal Ministry of Health, Khartoum, SDN.
Ahmed Shakir Ali YousifUrology, Gezira Hospital for Renal Diseases and Surgery, Wad Madani, SDN.
Ola Atif Mubarak AbdullahGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Muayad Mubarak Mohamed AliGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Ashraf Mohamed Suliman MohamedGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Ahmed Yahia Mahadi BabikerGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Abdalgader Omer Saeed MajzoubGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Mohammed Abd Elgaioum Sailh OmerGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Abdulmonem Mohamed Ahmed MohajerGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Mohammed Salaheldin Elsheikh AhmedGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Tagwa FadallaGeneral Surgery, Ahfad University, Omdurman, SDN.
Shereen Abdelmoniem Yousif AbdulhadiGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.
Mustafa MohamedGeneral Surgery, Atbara Teaching Hospital, Atbara, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimHigh-quality surgical operation notes are essential for patient safety, clinical communication, and medicolegal accountability. In low-resource settings like Sudan, inconsistent and incomplete documentation remains a challenge. This study aimed to evaluate and improve the quality of surgical operation notes at the Atbara Teaching Hospital using a closed-loop clinical audit.

methodsA two-cycle audit was conducted using a standardized checklist based on the guidelines of the Royal College of Surgeons of England. Fifty surgical notes were reviewed in each cycle. Following the baseline assessment, interventions including the implementation of a structured proforma and staff education sessions were introduced. A re-audit was then performed to assess the impact of these measures.

resultsSignificant improvements were observed across most documentation parameters. Patient identification improved from 2% to 100% (p<0.0001), preoperative diagnosis from 8% to 93.5% (p<0.0001), and postoperative care instructions from 0% to 76.1% (p<0.0001). Documentation of anticipated blood loss, antibiotic prophylaxis, and closure techniques also showed statistically significant enhancements. However, gaps remained in areas, such as complication reporting and anesthetist details.

conclusionStructured interventions, including standardized templates and targeted training, substantially improved the completeness and quality of surgical operation notes. Ongoing audits, reinforced education, and potential integration of electronic records are recommended to sustain and build upon these improvements, particularly in resource-limited settings.

Indexed as

clinical auditdocumentationlow-resource settingsquality improvement projectssurgical operation notes

Identifiers

PMID40861569
PMCPMC12374792

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.