Sentence examples for clinicians documentation from inspiring English sources
Nekhlyudov L, Nicola M, Jung I, Buechler E. Clinicians' documentation of breast findings: lessons learned from a figure of a hypothetical breast lesion.
Hypoglycemia awareness was defined by the clinicians' documentation (6).
Clarification of the correlates of medical record documentation quality can enhance and focus educational strategies to improve clinicians' documentation practices.
There are some limitations of our retrospective study as it depended on the thoroughness of clinicians' documentation.
For the purposes of this analysis, TEDDY defined DKA using both strict criteria (standard cutoffs for pH and bicarbonate) and broad criteria (allowing us to document DKA status on the basis of urine/blood ketones and clinician documentation).
Problem-based charting (PBC) is a method for clinician documentation in commercially available electronic medical record systems that integrates note writing and problem list management.
Our workflow had good precision and recall for urinary incontinence (positive predictive value: 0.73 and sensitivity: 0.84 .Our data indicate that important patient-centered outcomes, such as urinary incontinence, are being captured in EHRs as free text and highlight the long-standing importance of accurate clinician documentation.
We aim to evaluate mobile device options, in room computing and real time clinician documentation.
To our knowledge, our study is the first to capture clinician judgment in real time through clinician documentation in the electronic medical record.
These medical records were examined for patients who received dexmedetomidine during their ICU stay, and clinician documentation was examined to ensure that dexmedetomidine was received solely for the management of alcohol withdrawal symptoms.
Our classification of "improvement" relied on clinician documentation in charts, and it is possible that changes in lesion size, lesion number, or edema were not consistently documented in the medical record.
