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If an abbreviation represents a term used officially in your Policies and Procedures (P&Ps), the abbreviation should be introduced in every section it's used like this: "... and the patient suffered a myocardial infarction (MI)..." You spell out the non-abbreviataed version, then show the abbreviation directly following, parenthesized. After that, and in that section only, you can say MI instead of Myocardial Infarct. Great care must be taken that no two different abbreviations use the exact same letters. It's even better if the are none that are even similar. In the appendices of the P&P, there should also be a table of all official abbreviations. In the Structure section, your P&Ps should describe this as well.

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