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Mar 8, 2023 · Despite the accountability of VBP for HCAHPS scores and the high public visibility of the questionnaire results, only few studies report patient experience of hospital treatments against a scientific background.
Aug 17, 2023 · Proper instructions are given to the patients who collect the specimen themselves in a sterile container. An uncontaminated mid-stream urine sample is the best for reporting purposes. Physical examination involves volume, odor, color, appearance, pH, and specific gravity estimation.
- Zoia E. Khattak, Husam El Sharu, Beenish S. Bhutta
- 2023/08/17
- 2021
To facilitate data collection for study-specific internal validation studies, investigators should consider the important threats to the validity of their research while designing their study, and should allocate project resources accordingly.
- 2020/09
Jan 14, 2014 · The importance of measuring Patient Reported Outcomes (PROs) in health is now widely accepted, and complements the data collected by clinical observation, or by the assessment of a particular pathophysiological process.
- Helen Lloyd, Crispin Jenkinson, Monica Hadi, Elizabeth Gibbons, Ray Fitzpatrick
- 2014
- Abstract
- Introduction
- The Request
- Consent
- Format
- A Suggested Structure Is
- Conclusion
The preparation of a medico-legal report is an exercise incommunication between the doctors and the legal system. A properrequest and informed consent are essential prior to commencingreport preparation. A structured format incorporating elements ofbackground information, medical history, physical examination,specimens obtained, treatment provided ...
The medico-legal report is a structured and formal vehicle forcommunication between the doctors and the legal system. Requestsfor medico-legal reports are common and originate from a variety ofsources such as police, lawyers, government tribunals, insurancecompanies or the patients themselves. Once prepared they may beused in criminal or civil proc...
The circumstances surrounding many emergency departmentattendances especially those involving violence considerablyincrease the likelihood of a request for a medico-legal report. Therequest should be directed specifically to the most senior doctorwho was involved with the clinical management of the patient.Whilst it is possible to direct the reques...
Consent for the release of medical information to a third partymust be obtained prior to a medico-legal report being dispatched.It is recommended that consent is obtained prior to a report beingprepared to prevent inadvertent release without consent. The following criteria must be met for consent to be valid: 1. The subject (or their legal guardian...
There are many formats for a medico-legal report. Style may bedirected either by the personal preference of the author or by therequirements of the legal process or the requesting agency. Within these boundaries them are some common features whichinclude: 1. The date on which the report was prepared; 2. The name of the person to whom the report is ...
Background
Data such as the time, date and place, and the reason for theexamination. Detail the nature and extent of your involvement inthe case. A brief account of the alleged offence and the sources ofthat information should also be included. It is often useful toquote verbatim the subject's account of critical issues. A specificcomment should be made concerning the provision of consent.
Medical history
A brief account of any relevant medical conditions isappropriate.
Examination
Comments on the general presentation of the subject should beincluded. Emotional, psychiatric and intellectual state and theeffects of alcohol or other drugs should be described. Specificattention should be given to sites of particular interest in thecase; for instance the genito-anal examination in a rape case.Relevant negative findings should also be recorded. If there areany difficulties or limitations encountered during the examination(for example limited co-operation by the subject or a...
The preparation of a medico-legal report is an essential part ofthe service provided by hospital doctors. It is a task that shouldbe approached with a desire to accurately communicate the clinicalsituation encountered. A structured format and objective opinionwill enhance both the readability and accuracy of the report.
Patient Assessment. 2.4 Health History. The purpose of obtaining a health history is to gather subjective data from the patient and/or the patient’s family so that the health care team and the patient can collaboratively create a plan that will promote health, address acute health problems, and minimize chronic health conditions.
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What should be included in a medical report?
When documenting subjective data in a progress note, it should be included in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” An example of subjective data is when the patient reports, “I feel dizzy.” A patient is considered the primary source of subjective data.
