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Royal College of Surgeons Guideline Adherence on Improvement of Operative Notes: A Six-Month Closed Loop Audit.

Cureus · 2020 · PMC7273460 · PMID 32523827

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an increasing trendno p-value reported
There is an increasing trend for doctors who have been forced to practice defensive medicine [ 10 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.