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Poor note keeping is a significant hazard for emergency practitioners, in terms of patient safety and medicolegal risk. Ensuring that adequate records are maintained is particularly important in the ED for activities which obviously carry risks to the patient (eg, procedural sedation). A study published in the European Journal of Emergency Medicine (2011;18:13–18) evaluated the effect of two interventions: an ED educational program and optional use of preprinted standardised forms (which included the unit's procedural sedation guidelines). The standardised forms enabled appropriate documentation, but uptake of the preprinted forms was only 39%. The solution to keeping good records appears to remain elusive.
In a special report in the Annals of Emergency Medicine (2011;57:13A–20), the merits of peer review and crowdsourcing for review of journal articles for publication are debated. For those not in the (tech) know, crowdsourcing or Web 2.0 review involves open, online, transparent, rapid multisourced review. The process is already commonly used in many mathematics and physics journals. Critics of the traditional peer review …