Competent authorities and sponsor authorised persons (auditor) may request access to all source documents, CRF and other trial documentation in case of an inspection or audit.
Nursing staff will have to fill in a specially developed documentation sheet in case of a fall event, also a documentation sheet on measures used to prevent falls once a month.
For example documentation of skin turgor in cases of diarrhoea improved from 2% pre-intervention to 83% in the final 2 months of observation.
Sequential documentation of forniceal foreshortening in cases of progressive cicatrising conjunctivitis (PCC), such as ocular mucous membrane pemphigoid (OcMMP), is important in assessing stage and progression of disease.
An audit of our practice revealed a significant failure rate in epidural analgesia in elective major abdominal surgery patients and a high proportion of missing documentation in cases where epidural analgesia had failed.
Documentation of conjunctival forniceal foreshortening in cases of progressive cicatrising conjunctivitis (PCC) is important in ascertaining disease stage and progression.
All ICEMRs currently use some paper forms for informed consent documentation and as a backup in cases of electricity or cellular outage.
Secondly, while antibiotic use was assessed, most patients could not recall nor was there documentation in many cases of the specific antibiotic and dose used, but only the class of drug.
Understandably, documentation of presumed benefits of bicarbonate rescue in cases of DKA presenting with more severe acidemia and cardiovascular collapse or significant hemodynamic compromise were confined to case reports [32, 35, 36].
Understandably, documentation of presumed benefits of bicarbonate rescue in cases of DKA presenting with more severe acidemia and cardiovascular collapse or significant hemodynamic compromise were confined to case reports [ 32, 35, 36].
