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Examination of notes made by the pediatricians using a checklist confirmed that HRQoL scores were discussed based on the assessment but not how that was done.
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Triggers can inform examination of case notes to find out whether an adverse event actually occurred [ 65].
Participants were aged 18 years or over and had a clinical diagnosis of schizophrenia, confirmed by an examination of case notes using operationalised criteria.
Participants were aged over 18 years with a clinical diagnosis of schizophrenia, confirmed by an examination of case notes using operationalised criteria.
Consensus diagnoses were made by two raters from all available information following a semi-structured interview, SCAN or PSE [ 9, 10], and examination of case notes.
Exclusion criteria (intercurrent or chronic medical or psychiatric illness, pregnancy, alcohol or substance abuse) were identified by clinical assessment and examination of medical notes.
In both cohort studies identified, the delirium ascertainment relied on interview after the event and/or retrospective examination of case notes.
Retrospective examination of case notes (e.g., charts and medical records) is an important source of information in medical research and clinical audit; a vital consideration is the accuracy of this information (Lilford et al, 2007).
To take part in the study people had to be aged 18 years or over and have a clinical diagnosis of schizophrenia, confirmed by an examination of case notes using operationalised criteria (OPCRIT) [ 20].
Examination of case notes showed that the majority (67%) of bath drowning events occurred when there was no supervisor in the room (the child was knowingly left alone in the water even for a short time ranging from 1 s to 30 min).
The clinical examination of triage notes performed in our study demonstrates an option which may offer more timely results and more sensitive identification than automated syndromic groupings alone and thus could identify cases which would otherwise be missed by automated methods.
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CEO of Professional Science Editing for Scientists @ prosciediting.com