Discharge instructions are missing. Severity of condition is not conveyed |
No information explaining inadequate weight gain, which seems clinically important |
Diagnosis description is not clear. Initial encounter is written twice but it is not clear if the initial encounter is from a fall, a sports accident, or a fall during a sports accident |
Medication instructions list other medications and current medications. It is not clear if the patient is already on ibuprofen and are going to add an additional 200 mg of ibuprofen or if this is the same prescription |
Care Plan & Goals is highly confusing. Medications section is unnecessarily complex and redundant |
Follow-up contact is listed under Patient Education Information |
Order of information is confusing throughout |
Lack of structure makes navigation within the document difficult |
Highly inconsistent indentation, use of columns, font size and type, spacing, tables, and even footer text all contributes to a difficult to discern structure, hard to read, and very confusing |
Lack of color/contrast and seemingly arbitrary use of large text and bold text make determining, let alone understanding, emphasis very difficult |
Some subheaders/sections are in larger text than parent header(s) |
Formatting and issues with page breaks contribute to problems grouping information |