This documentation occurred immediately following the SM procedure, but the subject was not consulted regarding whether they heard an audible response nor were they aware that we were documenting these responses.
Google Glass enables us to document our environment without any indication or signal that this documentation is occurring.
Furthermore, as is common in unpredictable environments like the ED, HPI documentation may occur before or after the decision to obtain imaging or admit the patient.
Core teams participated in a pre-work conference call outlining the requirements for the QILC and the collection of baseline data (a three-month retrospective chart review of 36 randomly selected WCV charts of children ≤1 year of age to evaluate the IP anticipatory guidance (AG) discussions and documentation that occurred).
Documentation errors occurred in 65 of 1,934 prescribed agents (3.5%).
This means that the hard coded medical domain knowledge in the system results in higher cost when new requirements in clinical documentation routines occur.
Improvement of documentation might occur through medical informatics, which The Institute of Medicine's report To Err is Human[ 40] suggested might decrease medical errors and enhance patient safety.
However, there is currently no documentation that this occurs in trans.
The following operational definitions were used: Medication administration error: A medication error (time, dose, missed drug, unauthorized, route, technique, and documentation errors) that occurs while the time of administering IV, IM, SC, and PO medication to the patient by the nurse.
This definition was chosen on the basis of a previous study which indicated that in the SLaM BRC Case Register, the documentation of treatment for a mental health disorder generally occurs prior to the documentation of a formal diagnosis.
