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An absence of detailed written protocols and poor documentation of research is common.
Studies show poor documentation of contraceptive counseling when prescribing women teratogenic medications, suggesting a missed opportunity for contraceptive education.
Conclusions: Recall efforts were partially successful but were undermined by inability to reach the clinic population, poor documentation of immunizations, and missed opportunities.
Poor documentation of indications for medications and follow-up advice is worrisome as it could either be due to lack of communication or documentation or both.
Conclusions: Our audit highlighted important issues such as poor documentation of post-procedure CXR review as well as minimal effort in correcting the CVC placement despite evidence of suboptimal position.
In recent years, independent civil society truth commissions have begun investigating the history of violence in the Brazilian countryside, grappling with the roles of unequal land distribution, poor documentation of land rights, and expulsion and killings of indigenous peoples.
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The factors involved poor documentation, misinterpretation of laboratory results, issues with storage of the prophylaxis, and communication between departments.
In addition to poor documentation, evidence of suboptimal care was prevalent.
Lost data, poor documentation, lack of access to available knowledge, and reliance on memory all impede the delivery of high quality health care services.
There is poor documentation by physicians of reasons for hospitalization of low risk CAP patients.
Besides these, inadequate knowledge and perception of patients about the scope of diabetic management and trends of poor documentation at the clinic were major constraints identified affecting over all care of diabetes patients.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com