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Overall the findings highlight that the formal recording and documentation of such discussions needs attention.
In the DelpHi study we use an electronic health record documentation that comprises drug documentation.
In summary, medical record documentation varied depending on the measure in question, with room for improving documentation in most domains.
Clarification of the correlates of medical record documentation quality can enhance and focus educational strategies to improve clinicians' documentation practices.
Formal records are relied upon heavily.
Data were collected from formal records.
Opitz, R. & Nuninger, L. In XXIVth International Symposium CIPA: Recording, Documentation and Cooperation for Cultural Heritags.
Savica, R. et al. Medical records documentation of constipation preceding Parkinson disease: A case-control study.
Its plans for HMS Victory include "recording, documentation, conservation, publication and public education".
It was further confirmed by reviewing medical records documentation.
Formal documentation or records of meetings about the 2007/08 budget (such as minutes) were limited as departmental budgetary discussions were mostly informal and records were unavailable or did not exist.
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