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In order to function as the key actors in the handover, geriatric patients in Poland had to be disciplined in organising and transferring medical documents as they were the main repository of patient documentation.
Data from the patient documentation and semi-structured questionnaire with the attending physician and the nurse present at the moment of death were collected.
These notes often contain more information than ICD-10 codes because they are dictated for the purpose comprehensive patient documentation rather than billing purposes [9].
Most current paper- and computer-based formats for patient documentation use a two-dimensional dental chart, a design that originated almost 150 years ago in the United States.
Source of HCV transmission and duration of HCV infection were taken from the patient documentation and liver cirrhosis was diagnosed by clinical, biochemical, and sonographic data.
The purpose of this study was to explore the experience of experienced users of computerized patient documentation for the purpose of collaboration and coordination.
Similar(8)
Second, all phenotypes were assessed retrospectively from patient documentations and medical history readings.
Second, while a summary ICDSC score was documented for all study patients, documentation of individual delirium symptoms (from the ICDSC) was missing for 7 of the 36 patients in the parent study.
Together, virus isolation from serum and, for 1 case-patient, documentation of >4-fold rise in antibody titer, provide conclusive evidence for causality.
Amongst eligible patients, documentation of preventive screening interventions was generally low.
In the follow-up of patients documentation of patterns of failure is very important.
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CEO of Professional Science Editing for Scientists @ prosciediting.com