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Improvement of documentation might occur through medical informatics, which The Institute of Medicine's report To Err is Human[ 40] suggested might decrease medical errors and enhance patient safety.
For example, a) time efficiency resulting from the improvement of documentation quality is a deciding factor for the implementation of electronic documentation systems in hospitals [ 12] and nursing homes [ 3, 13].
Improvement of documentation of clinical information in the medical records as well as GPs training for implementation and adherence to clinical practice guidelines are potential areas for further discussion and research.
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As demonstrated in Figure 1, the variables with improvement in completeness of documentation in the EHR, compared with the PHR were measures of urine culture and GTT (both p = 0.001).
A structured encounter form resulted in significant improvement in documentation of most aspects of well-child care by family practice residents, including developmental assessment, safety and nutrition counseling, and measurement of growth, but not of physical examination [ 17].
* Figures in parentheses are percentage of the total There was a marked improvement in documentation of important general clinical features like pallor and level of consciousness for the admitted children.
Thus, any improvement in the sensitivity of documentation of comorbid psychopathology among suicides, rendered by the NVDRS, likely means diminished specificity.
From a medical liability standpoint, though, documentation is the number one issue in malpractice claims and this study would be useful for risk managers interested in quantitative evidence of documentation improvement with CDS.
To date it remains unclear which of the two approaches is more beneficial for end users, however, uptake of this tool and with it improvement of the process of documentation and analysis of the family history depends crucially on the usability being evaluated with the general public in mind.
To examine whether the improvement in the quality of documentation was simply a result of the presence of the intervention team (a Hawthorne effect) we analysed the quality of documentation in relation to PAR use in the post-intervention period only.
At least in our large primary care network, there clearly is substantial room for improvement in documentation of BMI and documentation and control of BMI-associated risk factors.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com