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Even where there are advanced computerized systems, the bedside clinician may still rely on written notes for patient management and billing, and refer to pocket textbooks or printed management algorithms.
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I don't turn up late, I don't take hour-long coffee breaks, I don't cherry-pick by only taking the notes for patients I know I can manage with a minimum of mental exertion.
"We can do harm if we are not careful when writing these notes for patients," Dr. Rebecca Jackson, the lead author and the chief of obstetrics and gynecology at San Francisco General Hospital, told the Times.
In contrast to research suggesting physicians' failure to routinely assess patient pain [ 20], it is encouraging that joint pain was documented in the majority of provider notes for patients reporting pain ratings of 4 or greater.
But the outlook is much better, as Mr. McCain's doctors noted, for patients who have already survived more than seven years.
Prior medical therapy, laboratory values, disease duration, and medical treatment response were noted for patients with AA.
No changes were noted for patients in group 4 (Table 2).
A significantly better outcome, was noted for patients after liver transplantation (mortality 28%; OR 6.50 [1.50-33.58]).
Positive specimens were noted for patients 1 day to 15 years of age (Appendix Table).
A less pronounced increase was noted for patients with localised disease (not significant for rectal cancer patients).
A similar finding was noted for patients undergoing hepatectomy for hepatocellular carcinoma (HR = 0.92; P = 0.004) [ 15].
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