{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:53:37Z","timestamp":1791633217579,"version":"4.3.4"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Tourniquet use is common practice in operative theatres, specifically in trauma and orthopaedic surgery. Documentation is important for having postoperative records in case of a complication. Having a system in place can ensure consistency of documentation. Our aim was to improve the documentation surrounding tourniquet use in our department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a prospective, two-stage, closed-loop audit of departmental operative notes against the British Orthopaedic Association Standard for Trauma standards for tourniquet use. Our intervention was the introduction of a specific tourniquet section in the operative note template along with departmental teaching sessions. A second cycle audit was performed post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Substantial improvements in documentation across all domains were found during the second cycle audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Surgeons were aware of their low rate of documentation, although this only improved after the first cycle. Similar audits have shown comparable shortcomings and subsequent promising results following the implementation of an electronic template.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Operative templates improved the completeness of documentation regarding tourniquet use across all domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendations:<\/jats:title>\n                    <jats:p>Continuation of this audit nationwide, with the introduction of an electronic template, can be beneficial, both departmentally and for patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589261476940","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:52:23Z","timestamp":1791528743000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving the documentation of intraoperative use of tourniquets using an operation note template in a single centre"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7103-2119","authenticated-orcid":false,"given":"Jason","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, St James\u2019s Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fergus","family":"McCabe","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, St James\u2019s Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Farrington","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, St James\u2019s Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niall","family":"Hogan","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, St James\u2019s Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"BOA 2021 BOAST guidelines\u2013the safe use of intraoperative tourniquets [Online] Available from: https:\/\/www.boa.ac.uk\/resource\/boast-the-safe-use-of-intraoperative-tourniquets.html [Accessed July 2025]"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac269.047"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2013.10.017"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2015.0045"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199212000-00014"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949901402200221"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06979-6"},{"key":"e_1_3_2_9_1","article-title":"Improving the safety of tourniquet use in a trauma theatre according to the British Orthopaedic Association Guidelines: A closed loop audit","volume":"16","author":"Vayalapra S","year":"2024","unstructured":"Vayalapra S, Guerero DN, Balasubramanian B, et al 2024 Improving the safety of tourniquet use in a trauma theatre according to the British Orthopaedic Association Guidelines: A closed loop audit Cureus 16 e51601","journal-title":"Cureus"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.10.085"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.033"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589261476940","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589261476940","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589261476940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:46:29Z","timestamp":1791632789000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589261476940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":10,"alternative-id":["10.1177\/17504589261476940"],"URL":"https:\/\/doi.org\/10.1177\/17504589261476940","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"article-number":"17504589261476940"}}