The quality indicators specifically to other non-classifiable dizziness include the documentation of symptoms of depression and anxiety.
Actually, there is no documentation of Darwin's depression, and no one ever asserted that he had suicidal tendencies.
But as an expert witness and litigation consultant, the medical reports from adults march across my desk, with psychiatrists' documentation of client anxiety, depression, PTSD, and suicidal impulses.
These omissions were seen in the areas of documentation of medications and depression and mobility screenings.
17 Prior antidepressant therapy was defined as documentation of antidepressant treatment prior to the date of diagnosis of depression.
Note: Additionally assessed at all time points of measurement: pharmacological treatment, somatic diagnoses; at T0: previous treatment for depression; at T1: documentation of treatment received (dose, components); T2 and T3: further outpatient treatment, days of sick leave, number of contacts to health care system.
Prior to recruitment of patients, providers in the intervention arm received training on the recognition of depression, the delivery of the manualized intervention package, the procurement and documentation of support and supervision using mobile phones, and the use of the automated electronic support and documentation system.
Overall, the documentation rate of key quality indicators important to all dizziness subtypes were low, such as falls, syncope, symptoms of depression and anxiety, and orthostatic blood pressure changes.
So, while physician elicitation of depression symptoms observed in this study might be suggestive of either the lack of symptom elicitation or documentation, either practice represents deficiencies in appropriate care.
