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. Author manuscript; available in PMC: 2012 Sep 1.
Published in final edited form as: Am J Med Qual. 2011 Jun 23;26(5):380–386. doi: 10.1177/1062860610394342

Table 2.

Reporting rate of 29 content items not specified by the protocol.

Frequency of reporting
Patient information
Name 83%
Age 72%
Weight 28%
Allergies 21%
Home medications 7%
Cardiac surgery information
Chest Tubes 86%
Atrial lines 79%
Post-op echocardiogram 68%
Surgeon / Assistant 14%
Pre-op echocardiogram 9%
Open Chest? 0%
Anesthesia information
Vascular access 79%
ETT details 76%
Antibiotics 59%
Blood products available 50%
Milrinone load 44%
Pain meds / reversal 41%
Induction medications 34%
Grade / visualization of airway 28%
Cerebral oximeter 23%
Blood loss / fluid loss 17%
Lactate 17%
Inotropes during case 10%
O2sat 3%
MvO2 3%
Anesthesiologist / Assistant 0%