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(Site one) Some participants noted how the move towards opening up such discussions and the resultant requirement to document discussions and decisions raised tensions for them.
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Interestingly, the document discussion aspect is tied to the location, too.
A strategy begins to emerge: high priority messages, Wave document discussion, stream maintenance, and email/presence monitoring.
The audit was limited in that it was retrospective, not blinded, and did not use formal scoring to define awareness (2, 11) or document discussion around insulin regimen change.
In theory, these are traits that could make any employee look bad, but in practice, as social scientists have documented, discussions of these traits themselves have gendered implications.
Although the frequency, risk factors, and diagnostic challenges are well documented, discussions regarding management strategies are sparse.
Documenting discussions, and striving for clarity helps to create intentionality, allowing us to adapt as a responsive need instead of a reactive force.
In 11 documented discussions, details of treatment to be limited were not provided.
We used secondary sources of data for characterising the SP programs and documented discussions in textual notes (e.g. summary statistics from databases, policy and curriculum documents).
Although a discussion of a birth plan was documented in more than a third of charts, less than a fifth of charts documented discussions related to prenatal classes, breastfeeding, and pain management.
(Harry, NHS commissioning manager, Deanshire) Although substantial knowledge acquisition occurred through informal conversation, more formal verbal exchanges such as meetings were recorded to leave a paper trail documenting discussions for accountability.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com