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One striking finding of this study is the marked difference between the perceived level of problem drinking (7.4 9.8% of patients) and the documentation of such diagnoses in the medical record (1.2 1.5%), suggesting that clinicians document perceived problem drinking in less than 25% of cases.
Clinicians document four stages of pressure ulcers, in which Stages 1 and 2 are superficial sores and Stages 3 and 4 are deep wounds that result from death of the skin and underlying tissues.
However, more caution is required when developing targets for less easily-defined, health promotion counselling interventions which clinicians document having given in medical records; it is very possible that these targets are not valid and don't stimulate intended health promotion counseling activity.
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The Resuscitation Council said the judgment "emphasises the importance of clinicians documenting clearly their reasons, should they decide not to discuss a DNACPR decision with a patient or explain it to them".
"In many of the cases we have examined in detail the victim disclosed, and our clinicians documented, evidence of sexual forms of torture including rape (anal, vaginal, oral and/or instrumental), beatings on and violence to the genital area, sexual molestation and individuals being forced to commit sexual acts on others".
Clinicians documented 85.1% of procedures on the incident reporting form.
Three years ago, after Kaiser failed to act on its clinicians' documented claims, clinicians took their case to state's Department of Managed Health Care.
Clinicians documented the medical condition treated and services provided.
Trained clinicians documented three measurements of resting BP and the median value was recorded.
At baseline, clinicians documented the presence or absence of enthesitis and peripheral arthritis.
As paediatric prescribing is based on weight we also tracked whether clinicians documented this in the case record.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com