4.1.11 OP report Estimated reading: 1 minute 28 views Authors Download the VA as PDF Download Purpose and goal Records of the findings and course of an operation from a professional point of view as a reminder, report to co-treating physicians, proof of performanceInforming the departments providing further treatment (recovery room, ward)Scientific evaluationProof of further training as a specialistLegally, the surgical report is an important document that the hospital is obliged to provide (Section 630f (2) BGB). The surgical report is of great importance in the clarification of liability claims.The surgical report must be comprehensible. The procedure must be comprehensible from the description. The report is sufficient if a reader with specialist knowledge can understand how the surgeon proceeded and what special features had to be taken into account. § Section 630f (1) BGB; Section 630f (2) BGB; Section 10 (1) BOÄ; Section 10 (5) Model Professional Code for Doctors; Dortmund Regional Court 4 O 230/13 of April 14, 2016 Oldenburg Higher Regional Court 5 U 92/06 of January 30, 2008 Application Description of the procedure Risks Resources Material Time required Documentation Responsibility and qualification Notes and comments Applicable documents Validation documents Terms Attachments OP report formDownload Data set OP reportDownload 4.1 Documentation - Previous 4.1.10 Care service documentation Next - 4.1 Documentation 4.1.12 Patient-related reports, doctor's letter
