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SB, AK and JL developed the data abstraction form and protocol for abstracting information from medical records with input from Maggie Flood, Leisje Toomey, Martine Kilby, EMcD, Chris Bessell, Robert Burrows, Jane Gunn and Peter Wein.
Abstracting information from paper forms is difficult, time-consuming, and not necessarily accurate [21].
In addition, most of the studies collected data by abstracting information from patient charts.
We selected nurses for data collection with careful attention to the task of abstracting information from medical records.
Data collection was performed by a trained survey team abstracting information from case records into structured questionnaires and used strict, standard operating procedures.
Nontherapeutic procedures, such as downloading data from monitors, drawing extra blood for pharmacokinetic drug levels, or abstracting information from the patient's chart, are administered without therapeutic warrant and are performed solely to answer the study question.
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Using the data abstraction form, reviewers independently abstracted information from charts and electronic medical records, including demographic data, and recommendations for cancer screening (mammography and pap smears), immunization (influenza and pneumococcal), and risk factor assessment (cholesterol measurement and smoking cessation) in the prior three years (i.e. 2002-2004).
All abstractors abstracted information from the eight simulated charts using the study chart abstraction form.
These patients were a convenience sample of all hospitalizations reported to CDC from 24 states as part of prospective surveillance project, as described previously, [15] for which state health departments abstracted information from medical charts using a standard case form.
We abstracted information from the unit's database.
Two reviewers abstracted information from each identified study.
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