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Applications to be excused from observing the rules arrive bolstered by documentation of illness, moodiness, busyness, family background, cultural background, provocation and plain old temptation, or by undocumented claims of free-spiritedness.
However, the application of standardized medical protocols, with detailed documentation of illness and medication, will ensure this can be accounted for.
Here we have examined the feasibility and acceptability of a structured paediatric admission record (PAR) for district hospitals as a means of improving documentation of illness.
In conclusion, we have found that the standardized paediatric admission record was well accepted by clinicians and it greatly improved documentation of illness for most admitted children.
We wished to examine whether a standardised form would improve the quality of documentation of illness in a typical district hospital in which none of the investigators had any clinical or administrative role.
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Data from the pre-intervention period would therefore indicate the degree to which specific disease programmes have influenced documentation of severe illness.
bData missing for the following characteristics:, Total Length of Homelessness (N = 6) Longest Period of Homelessness (N = 3), Years of School Completed (N = 2), Written Documentation of Mental Illness (N = 5), Has family physician (N = 2).
As data were collected from clinical records, it is possible that frequent attendance (for methadone treatment) may increase documentation of chronic illnesses.
In addition, we suspect that the increase in sepsis mortality among coded patients reflects more accurate documentation of severity of illness and sepsis coding practices than in the past.
Growing pressures on hospital quality measurements, financial incentive programs (pay-for-performance), and the increase in electronic health records may have resulted in better documentation of severity of illness by physicians and hospitals [ 23, 24].
The low documentation of this chronic illness shows that there are opportunities to improve the quality of care for CKD patients.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com