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14 15 In the aggregate results, 'communication issues or poor documentation' was in the top seven clinical management issues.
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However, as the intensive documentation audits showed, not all steps of the nursing process were well documented, and the documentation was in part not adequately adapted to the individual patient.
During the CDS portion of our study, we had a JCAHO audit and noted that our documentation was in compliance because the CDS forced legible and complete documentation.
And the documentation is, in a word, spectacular: well illustrated, loaded with tips and troubleshooting and, if you can believe it, all printed up into a nice paperback book.
Erin Prahler of the Coastal Commission said the panel will review the amended plan once all the necessary documentation is in hand.
The data and its documentation are in Dutch.
If no such documentation was present in the chart, patients were excluded from the study (12/26).
A follow-up investigation with the same measurements and documentation was performed in the general practices twelve weeks after inclusion.
Chain-of-custody documentation was maintained in the intake unit as well as initial entry into the database.
No prognosis documentation was identified in the control group at either time point.
Any psychiatric documentation was uncommon in the undetermined category and highest among White suicides.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com