Table 1.

Data reliability, consistency, and responsibility for care

Documentation standards	N	n (%)
Record documented by clinicians within the first 24 h of admission	732	721 (98.49)
Nursing care plans documented within the first 24 h of admission	732	627 (85.66)
Patient's name properly documented on the first page of all continuation sheets	732	551 (75.27)
Unit number recorded on the first page of all continuation sheets	732	431 (58.88)
Progress notes documented each day	732	672 (91.80)
Progress notes signed and dated each day	672	645 (95.98)
Investigation order forms signed and dated	732	528 (72.13)