We examine how a custom, ED provider, electronic documentation system (eDoc), which replaced paper documentation, affects operational performance.
However, as results in both sub-samples are very similar, there is no indication that language, duration or method of Life-Chart documentation affects the validity of the ratings.
As clearly shown in Fig. 5, records are unevenly distributed amongst the 37 settlements that, according to the coeval documentation, were affected by the 6 April 1667 earthquake.
The very act of documentation, ironically, affects the moment it is trying to document.
Suboptimal medical documentation may have affected data quality as the WHOGS utilised retrospective medical record review for data collection.
Figures 1 and 2, based on data from over 4 million sets of primary care medical records contained in (The Health Improvement Network THINN research database, show how the QOF initially affected documentation and recorded use of smoking cessation interventions in UK primary care [ 16].
Since all recorded information was obtained from the mother and the available medical records, recall bias and incomplete documentation respectively, may have affected our results.
Finally, it is possible that unmeasured factors may have affected doctors' documentation of the smoking advice that they delivered to patients.
In the case illustrated above, the county governor finalized the inspection based on documentation of implemented measures aimed at improving structural elements, without documentation of whether the measures affected the processes.
