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For all patients who could not be interviewed, the SCAN item group checklist was completed, based on case notes and information from clinical staff.
The primary outcome measures were diagnoses based on case notes of the historical cohort between 1875 and 1924, as well as details of paediatric admissions to MHS from 1994 to 2008 and paediatric admissions with a mental health component to the DGH in NWW.
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Second, the review was based on case note data alone, and is therefore subject to documentation bias.
Assessments are based on case note reviews and discussion amongst multidisciplinary teams to establish the overall risk of various adverse events, including violence.
It is however important to note that these results were mainly based on case series with often small patient numbers included.
Based on the case notes, the last few interviews did not add any new substantial information.
32 The investigators used prescription data and operation codes as surrogate measures for glaucoma, while estimating, based on a case notes review, the extent of misclassification thus introduced.
Verification of adherence to BTS guidelines was performed by the lead authors, and was based on reviewing case notes and chest radiographs.
Assessments of potentially avoidable admissions were made by Palliative Medicine consultants from the standpoint of the admitting clinician, using expert judgements based on complete case note information.
We used a structured proforma to record the presence or absence of each of the MCDD criteria (Table 1) based on the patients' case notes.
24 We are developing and evaluating a novel tool based on review of case notes of patients who die in hospital, where each death is scored on a sliding scale of preventability.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com