In Reply.— We disagree with Dr Solomkin that the missing information discovered in our study is an administrative problem. Improvement in data bases such as the Veterans Administration's Patient Treatment File requires support from both clinical and administrative services. We attempted to attribute errors to their source. Coding is based on the Discharge Summary and Operative Reports. Because the physician is responsible for these documents, we considered missing information in these reports to be the physician's responsibility. Using Dr Solomkin's example of benign hypertension, we do not agree that it is an insignificant diagnosis. Furthermore, it is not appropriate to make an administrative decision that a patient had hypertension and to add it to the discharge summary.We agree that many of the omissions found were of lesser significance. However, many were important, both clinically and financially. Our protocol for inclusion of a diagnosis was that it was treated, that
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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