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By comparison, documentation of the same discussion taking place with the patient themself was found in only 24.5% of cases.
Coding will include constant comparison, documentation and identification of themes throughout the findings, including core categories and sub-categories.
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The selective coding will also include constant comparison and documentation resulting in dense, saturated core categories.
They play a key role in the reporting of clinical and epidemiological data, allowing for uniform comparison and documentation of different conditions.
As difficult as it is to conduct such trials to the level of accepted standards, we would also like to point out that comparisons or documentation of treatment regimens, although not necessarily based on a randomized study, can also be immensely useful and practicable for quickly discerning and reporting failing treatments.
Quality control was performed on a quarterly basis via logic checks on the entirety of the database and comparison of source documentation to the database values for 10% of the participants.
In comparison, internists met documentation standards for immunization for 562 of 584 patients (96%).
The pre-CDS and post-CDS triage documentation comparison showed that the same nurses using CDS had marked improvement in their triage documentation.
Regardless, the favorable documentation comparison and the numerous other benefits of PDAs may make them an attractive alternative for resident documentation.
Previous work on comparisons of coding, documentation and completeness of patient records in European countries will guide the logistics of record audit [ 39].
In addition, this work has identified challenges in the domain, including terminology diversity and inconsistency, limited documentation, sparse comparison and benchmarking criteria, occasional immaturity of solutions and lack of support, and non-existence of a standard query language.
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