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Our results suggest that documentation of safety netting is sparse and non-standardised, and that auditing patient records cannot accurately determine how often safety netting actually occurs (without being documented).
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Certain tasks such as assessment of compartment syndrome were only documented in 15% of cases; however it is likely that this will have taken place in the majority of cases without findings being documented.
These tricks make it so easy for doctors to document the results of standard exams and conversations with patients that it appears more and more of them are being documented without ever having happened in the first place.
20/200 vision with and without pinhole was documented on day 27 post-laser.
Migraine without aura was documented in 313 patients (66.9%), and migraine with aura, in 127 (27.1%); the remaining 28 patients (6.0%) had probable migraines.
Migraine without aura was documented in 313 patients (66.9%), and migraine with aura in 127 (27.1%); 28 patients (6.0%) had probable migraines.
In 10,754 patients with NSTE-ACS, diabetic status and treatment with or without GPI was documented.
The occurrence or absence of HIC with or without IMH was documented.
Enthesitis without peripheral arthritis was documented in 512 (41.0%) patients; arthritis without enthesitis was reported in 107 (8.6%) patients.
On the other hand, the role of both the pH and the potential on the interfacial capacitance in the presence of Na2SO4 without redox species is documented.
Fallopian tubes were patent bilaterally, and free intraperitoneal spill without peritubal loculation was documented.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com