Stogryn, Shannon Elise2018-01-122018-01-122017Stogryn S, Park J, Hardy K, Vergis A. Development of Consensus-Derived Quality Indicators for Laparoscopic Roux en Y Gastric Bypass Surgery. Surg Obes Relat Dis. 2017 Feb;13(2):198-203Stogryn S, Hardy K, Vergis A. Bariatric Operative Reporting: Quality Assessment and Perceptions Among Bariatric Surgeons. Surg Obes Relat Dis. 2017 Mar;13(3):429-435Stogryn S, Hardy K, Mullan M, Park J, Andrew C, Vergis A. Synoptic Operative Reporting: Assessing the Completeness, Accuracy, Reliability, and Efficiency of Synoptic Reporting for Roux en Y Gastric Bypass. Surg Endosc. 2017 Sep 15. (Epub ahead of print)http://hdl.handle.net/1993/32820Background Operative reports (OR) are critical documents in the medical record but are often poor quality. Synoptic reporting (SR) is a potential solution. This has never been assessed in bariatric surgery. The objective was to design and trial a SR for Roux en Y gastric bypass (RYGB), a common bariatric procedure. Methods Systematic review and meta-analysis of comparative studies on SR and narrative reporting (NR) was conducted. A Delphi group developed quality indicators (QIs) for RYGB OR based on these findings. A national needs assessment and audit was then performed and a RYGB SR was subsequently designed and prospectively trailed against NRs. Results Meta-analysis found SRs more complete and efficient than NRs. Seventy-five QIs were established and found bariatric ORs of mediocre quality. RYGB SR was more complete for all items compared to NRs (>99% vs 64%). Conclusion SR for RYGB is superior to NR and should be implemented into clinical practice across Canada.engBariatic SurgeryOperative ReportingSynoptic ReportingQuality Improvementmaster thesis