OT documentation that is ready when the assessor asks
Caresoft OTMS produces the OT records hospitals are asked for during accreditation: informed consent, pre-anaesthesia check, WHO Surgical Safety Checklist, counts, anaesthesia record, signed operation note, recovery discharge criteria, implant batch and serial numbers, CSSD load results and an audit trail of every change.
What you get
- Signed operation notes lock; corrections are added as dated addenda
- Implant register with batch, serial and expiry
- CSSD load register with indicator results
- KPIs: first-case on-time start, turnaround, cancellations with reasons
- Every action logged with user and time
Safety steps it enforces
Start the incision before the WHO Time-Out is complete
Time-Out is a required step. The "Start surgery" button stays locked until every item is ticked.
Close a case when the swab count does not match
Initial, closing and final counts are compared item by item. A mismatch blocks completion.
Wheel the next patient into an OT that is still being cleaned
The cleaning interval runs after every case. Patient-in is locked until cleaning is signed off.
Questions
Does it help with NABH documentation?
It records the OT documentation NABH assessors look for: consent, PAC, WHO checklist, counts, anaesthesia record, operation note, implant traceability, CSSD load records and a full audit trail of who did what and when.
Is patient data secure?
Each hospital's data is isolated, every action is audit-logged, sessions time out on shared OT terminals, and the live board masks patient names. Caresoft is certified for ISO 27001.
See your own OT list running on it
Tell us about your theatres. We will set up a demo with your procedures and surgeons, not a generic one.
- We call you within one working day to understand your OTs and current process.
- Live demo on your data: your OTs, procedures and a real day's list.
- Free trial for your team, standalone or linked to Caresoft HIS.