An operative note is indispensable to physician documentation and decision-making; however, there are no accepted standards for operative note content.
Computerized Provider Order Entry (CPOE) with electronic documentation, and computerized decision support dramatically changes the information environment of the practicing clinician.
Periodic auditing of documents and decisions by a second member of the oversight committee could help to standardize approval, referral decisions and documentation, while ensuring quality oversight through an audit trail.
The results of this study indicate that improving the documentation and discoverability of decisions holds a large potential to increase reuse of decisions and that decision documentation is not only important for system understanding or in the context of architecture reviews but also to support architects in upcoming projects.
Explicit documentation and reporting of decisions and judgements made in developing the decision model.
Five dominant health and safety risks for outbound medical tourists from BC were identified: (1) complications; (2) specific concerns regarding organ transplantation; (3) transmission of antibiotic-resistant organisms; (4) (dis continuity of medical documentation and (5) (un informed decision-making.
Five dominant health and safety risks for outbound medical tourists were identified by participants: (1) complications; (2) specific concerns regarding organ transplantation; (3) transmission of antibiotic-resistant organisms; (4) (dis continuity of medical documentation and (5) (un informed decision-making.
After each meeting, field notes were written on MDT features (eg, agenda, attendee job titles, presence of an MDT coordinator), context (eg, reference to national policy/guidance and local resource issues) and process (eg, levels of participation, role of the chair, complexity and uncertainty of problem, and clarity and documentation of decisions).
We found that the tool has a high relevance for software architects, that it increases the quality of decision documentation and that it improves productivity of architects in various ways.
