Nurses identified as sources of information about ACP the new documentation being introduced in practice as a result of the Mental Capacity Act [ 5], discussions about practice and policy development taking place locally and information related to care planning 'tools' such as the Gold Standards Framework.
As we noted in our effort to derive and validate a signature for head of bed elevation, variability in documentation practice may limit the ability to derive a clinically useful digital signature; however, an emerging automatic documentation technology could help overcome this limitation.
While the use of medical records data is a widely accepted approach to quality measurement, some portion of the reported improvements may have been due to changes in documentation rather than improvement in practice [ 28].
Later, I was involved in implementing good documentation practices in the research department.
The major issues included: lack of detail in documentation; the practice of verbally communicating information to colleagues rather than making written notes; and the ethical concerns raised by the perceived requirement to discuss and document choices.
Our findings indicate a concerning pattern of documentation practices in the Danish psychiatric hospitals regarding patients with schizophrenia.
Granting permission for EU nationals to stay would have to be supported in law and, Rollason believes, in practice with documentation required to demonstrate the right to work and settle in the UK.
Similarly, Mr Bush can point to an improving economy and to his call in January for reforming the immigration system to give temporary documentation to illegal immigrants.In practice, however, Mr Bush may be fretting.
In practice, the documentation of such decisions is regularly done after the fact, or skipped completely.
There is to date, however, limited documentation of how SWAps work in practice.
