Table I.
Percentage of appropriate documentation in the charts by nurse prescribers and doctors
| Documentation item | Appropriate nurse documentation (% (N)) of documentations) |
Appropriate doctor documentation (% (N)) of documentations) |
p-value |
|---|---|---|---|
| Pill count charted | 100 (97) | 97 (100) | 0.246 |
| Chief complaint listed | 100 (97) | 99 (100) | 1.000 |
| Social history updated | 95.9 (97) | 86 (100) | 0.024 |
| Disclosure reviewed | 95.9 (97) | 92 (100) | 0.373 |
| Physical exam | 94.8 (97) | 96 (100) | 0.745 |
| Laboratory testing | 93.8 (97) | 94 (100) | 1.000 |
| WHO staging documented | 90.7 (97) | 96 (100) | 0.160 |
| Paediatric dosing | 96.9 (97) | 99 (100) | 0.362 |
| Cumulative of 8 items | 96.0 (776) | 94.9 (800) | 0.335 |