Table 3.
Recorded essential items by referring clinician type on referrals for surgery to Komfo Anokye Teaching Hospital, Ghana.
| Referring clinician type | ||||||||
|---|---|---|---|---|---|---|---|---|
| Physician | PA or MA | Not recorded | Nurse or midwife | |||||
| n | (%) | n | (%) | n | (%) | n | (%) | |
| Number of referrals | 426 | (66) | 88 | (14) | 115 | (18) | 14 | (2) |
| Patient's age | 388 | (91) | 12 | (86) | 104 | (90) | 12 | (86) |
| Working diagnosis | 319 | (75) | 84 | (96) | 79 | (69) | 13 | (93) |
| Reason for referral | 385 | (90) | 73 | (84) | 105 | (91) | 13 | (93) |
| Brief history of illness | 102 | (24) | 18 | (21) | 28 | (24) | 5 | (36) |
| Medical history or treatments | 191 | (45) | 58 | (66) | 45 | (39) | 5 | (36) |
| Surgical history or treatments | 15 | (4) | 4 | (5) | 3 | (3) | 1 | (7) |
| Labs or imaging performed | 13 | (3) | 1 | (1) | 5 | (4) | 0 | (0) |
PA – physician assistant; MA – medical assistant; An item was considered absent if there was no documentation about the result or it's being performed/asked or not performed/asked