This paper describes the types of difficult learner interactions in EM, strategies for proper documentation and planning, and remediation procedures.
Part of being a successful "bleeding-edge" adopter means dealing with lack of processes, documentation and planning.
Future research should explore ways of improving documentation, including the impact of electronic documentation, and plans are under way to implement this in our hospital clinics in the near future.
But there was also a myriad of other small components, each requiring a flow chart, a military level of documentation and a plan of attack.
One patient had been set up in the electronic data capture system before any treatment decision was made and was excluded because there was no further documentation and no plan to start second-line pemetrexed treatment.
Such treatment might also help homeowners undertake the daunting documentation and financial planning that foreclosure prevention programs demand.
A spokesperson for the Independent Police Complaints Commission said: "The IPCC has been identifying the location of documentation and preparing plans for conducting a complex scoping exercise to assist it in identifying the specific allegations stemming from events at the Orgreave coking plant and which, if any, warrant investigation.
Prolonged empiric antimicrobial treatment without clear evidence of infection, failure to narrow antimicrobial therapy when a causative organism is identified, and no clear documentation about indication and plan for therapy are reported to be common problems, and published data on general inappropriate use of antibiotics have similar findings to our results during phase I [ 12- 16].
(4) Clearer documentation and language in planning, as more litigation is likely.
For example, the introduction of the GSFCH in Scotland resulted in a reduction in hospital deaths and increased 'do not attempt resuscitation' documentation and advance care planning.
