Table 3.

Essential documentation by specialties/subspecialties

Ward	% Documented within 24 h	% Patient's name properly documented	% Unit number properly documented	% Principal diagnosis documented in discharge summary	% Investigation orders properly documented	% Discharge summary completed
Accident and emergency	97.9	75.7	58.6	90	71.4	7.69
Medicine	97.4	68.4	68.4	100	84.2	18.42
Obstetrics and gynecology	99.1	80.7	61.9	94.3	91.1	15.77
Pediatrics	98.3	65.7	49.4	88.2	83.1	8.43
Psychiatry	90	80	60	0	40	0
Surgery	100	76.7	70	85.7	86.7	23.33