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The authors highlight the phrase "if it's not documented it didn't happen," 0% documentation rate was considered a concerning record of practice.
However, several factors influenced the documentation rate of home visits resulting in a discrepancy between the numbers of documented versus conducted visits.
To determine the rate of appropriate documentation of endotracheal tube (ET) position confirmation in the American Heart Association's Get With the Guidelines-Resuscitation (GWTG-R) and to determine whether outcomes of patients who experience in-hospital cardiac arrest differ in relation to documentation rate.
The primary outcome targeted was documentation rate.
In addition, their documentation rate was also ascertained retrospectively and is given in the respective tables.
Subsequently, the documentation rate of radiological progression was found considerably low during the retrospective patient evaluation.
Similar(30)
This database with a documentation rating that is useful in recognizing well-documented interactions would limit clinical repercussions.
Results: The Emergency Department Expert Charting System improved documentation rates for all modules.
For the first time we have demonstrated that an evidence-based guideline for seizure management can be implemented in Ireland and used to standardize care for seizures in the emergency department improving documentation rates and clinical evaluation.
Documentation rating was considered to highlight clinically important pDDIs.
Documentation rates for components of patient education were the lowest, between5%and16%16% in all charts.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com