{"id":10733,"date":"2024-12-11T14:30:30","date_gmt":"2024-12-11T13:30:30","guid":{"rendered":"https:\/\/extali.eu\/docs\/4-informationswesen\/4-1-dokumentation\/4-1-11-op-bericht\/"},"modified":"2025-01-31T22:09:18","modified_gmt":"2025-01-31T21:09:18","slug":"4-1-11-op-report","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/4-informationswesen\/4-1-dokumentation\/4-1-11-op-bericht\/","title":{"rendered":"4.1.11 OP report"},"content":{"rendered":"
Download the VA as PDF <\/a>Download<\/a><\/div>\n\n\n\n

Purpose and goal<\/h2>\n\n\n\n

Records of the findings and course of an operation from a professional point of view as a reminder, report to co-treating doctors, proof of performance
Informing the departments providing further treatment (recovery room, ward)
Scientific evaluation
Proof of further training as a specialist
Legally, 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.<\/p>\n\n\n\n

\u00a7 Section 630f (1) BGB; Section 630f (2) BGB; Section 10 (1) BO\u00c4; Section 10 (5) Model Professional Code for Doctors; Dortmund Regional Court 4 O 230\/13 of 14 April 2016 Oldenburg Higher Regional Court 5 U 92\/06 of 30 January 2008<\/p>\n\n\n\n

Application<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Description of the process<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Risks<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Resources <\/h2>\n\n\n\n

Material<\/h4>\n\n\n\n

Time required<\/h4>\n\n\n\n

<\/p>\n\n\n\n

Documentation<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Responsibility and qualification<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Notes and comments<\/h2>\n\n\n\n

<\/p>\n\n\n\n

Applicable documents<\/h2>\n\n\n\n

Validation documents<\/h4>\n\n\n\n

Terms<\/h4>\n\n\n\n

<\/p>\n\n\n\n

Attachments<\/h2>\n\n\n\n
OP report form<\/a>Download<\/a><\/div>\n\n\n\n
Data set OP report<\/a>Download<\/a><\/div>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

Zweck und Ziel Aufzeichnungen zum Befund und Ablauf einer Operation aus fachlicher Sicht als Erinnerungsst\u00fctze, Bericht an mitbehandelnde \u00c4rzte, LeistungsnachweisInformation der weiterbehandelnden Abteilungen (Aufwachraum, Station)Wissenschaftliche AuswertungNachweis f\u00fcr die Weiterbildung zum FacharztRechtlich ist der OP-Bericht ein wichtiges Dokument, das anzulegen das Krankenhaus verpflichtet ist (\u00a7 630f Abs. 2 BGB). Der OP-Bericht ist bei der Kl\u00e4rung von […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10711,"menu_order":11,"comment_status":"open","ping_status":"closed","template":"","doc_tag":[],"doc_badge":[],"class_list":["post-10733","docs","type-docs","status-publish","hentry","no-post-thumbnail"],"acf":[],"author_avatar":"https:\/\/secure.gravatar.com\/avatar\/c6b2616140d9fcd6a1c5d6d2ebbf43422308c9322c032ef03f88ec3235855dcf?s=96&d=mm&r=g","author_name":"admin","_links":{"self":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10733","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/comments?post=10733"}],"version-history":[{"count":1,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10733\/revisions"}],"predecessor-version":[{"id":14958,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10733\/revisions\/14958"}],"up":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10711"}],"wp:attachment":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/media?parent=10733"}],"wp:term":[{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_tag?post=10733"},{"taxonomy":"doc_badge","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_badge?post=10733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}