Background Hospital records are essential to standardize information about the similar procedures in different patients as well as to compare findings to what is described in literature. It is also fundamental to carry out retrospective studies. Our department implemented an inguinal hernia record that is carried out in three main points: pre-operative, immediately after surgery and post-operative appointment. Method We performed a retrospective study to analyze the records between 2021 and 2022. It was also asked our team to answer a questionnaire about the impact of this new tool in our practice. Results During this period records were filled in 78 out of 148 patients (53%), mainly by out Abdominal Wall Unit (67%). In the pos-operative appointment only 34% of patients had their record filled and of those only 46% were completed. The majority of unfilled parameters are regarding procedure complications and follow-up. When asked to our colleagues, 71% found this tool easy to access and it even helps collecting important data for a good clinical history. Nevertheless, 43% did not know about this tool. Conclusion In despite of the universal and known advantages of uniformized hospital records, it is fundamental to publicize its existence in order to increase adherence.
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Pinto et al. (2024) studied this question.
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