Documentation was assessed according to 32 criteria based on the Royal College of Surgeons of England guidelines, for admissions before (n = 72) and after (n = 96) implementation.
The entire chart was examined to obtain data that could be found in different places – progress notes, growth charts, etc. Six outcome variables reflecting documentation were assessed for each chart audited: growth, nutrition, safety issues, developmental milestones, physical examination, and overall comprehensiveness.
The dose of the mobility intervention is assessed through the use of daily documentation flowsheets in the health record.
The patient is assessed, PESI score recorded and all relevant documentation completed.
If the parent did not provide such documentation, children were assessed for this study by a psychologist research-certified in the ADOS to confirm the diagnosis of an autism spectrum disorder.
When the POSS was used, there was an increase in both the clarity and frequency of documentation when sedation was assessed.
Differences in clinical care (nephrology referral, CKD documentation, ACEI/ARB use, etc) were assessed using a chi-square or Fisher's exact test for categorical variables.
Time to progression was defined as the time from first tamoxifen prescription for MBC to the documentation of progression, which was assessed by standard RECIST criteria (Hayward et al, 1977).
In a tiered approach three aspects of these "non-guideline" studies are assessed: the documentation of the study (reliability), the quality of the study design (adequacy) and the scope of examination (validity).
Safety was assessed by documentation of adverse effects.
