Table 2.
Completeness of WHO recommended documentation on clinical chart
Regional Hospitals | Overall N = 2891 |
Mwananyamala N = 764 |
Coastal N = 555 |
Tanga N = 211 |
Arusha N = 950 |
Morogoro N = 411 |
---|---|---|---|---|---|---|
Variable | ||||||
Patient Demographics | % | % | % | % | % | % |
Name of the patient | 99.3 | 99.7 | 98.6 | 99.1 | 99.1 | 100.0 |
Age or date of birth | 82.0 | 98.0 | 75.5 | 91.0 | 66.9 | 91.2 |
Gender | 69.7 | 73.4 | 76.8 | 86.7 | 62.6 | 60.6 |
Address of the patient | 83.8 | 98.7 | 82.3 | 83.9 | 67.8 | 91.5 |
Injury Geographical location | 14.1 | 25.4 | 11.7 | 11.4 | 11.2 | 4.6 |
Date of EU care | 80.9 | 74.6 | 82.2 | 76.8 | 80.7 | 93.7 |
Initial clinical condition | ||||||
Referral status | 8.3 | 1.8 | 11.4 | 23.2 | 5.6 | 15.1 |
UE arrival mode | 23.6 | 0.7 | 18.6 | 11.4 | 50.8 | 16.5 |
Signs of life | 31.2 | 0.7 | 9.9 | 4.7 | 73.8 | 31.9 |
Time of first vital signs | 32.2 | 40.8 | 32.1 | 39.3 | 15.7 | 50.6 |
Initial Heart rate | 24.5 | 1.8 | 31.4 | 32.2 | 31.6 | 37.2 |
Initial SBP | 18.7 | 1.4 | 18.4 | 18.3 | 27.9 | 29.9 |
Respiratory rate | 18.0 | 1.3 | 17.3 | 16.8 | 27.5 | 28.5 |
Saturation of oxygen | 13.1 | 0.1 | 8.6 | 9.1 | 23.1 | 21.9 |
Initial GCS/AVPU | 3.1 | 0.1 | 10.6 | 8.7 | 0.6 | 1.5 |
First provider assessment time | 32.2 | 40.8 | 32.1 | 39.3 | 15.7 | 50.6 |
Details of injury | ||||||
Mechanism of injury | 45.0 | 44.8 | 42.3 | 50.7 | 46.9 | 41.8 |
Mass casualty event | 0.5 | 0.0 | 1.3 | 0.5 | 0.0 | 1.7 |
Injury event date | 52.2 | 46.0 | 58.0 | 53.6 | 54.9 | 49.0 |
Injury settings | 5.3 | 5.9 | 4.3 | 2.4 | 6.0 | 5.4 |
Activity at time of injury | 3.3 | 2.5 | 2.3 | 2.4 | 4.0 | 3.3 |
Injury intent | 6.8 | 3.9 | 7.4 | 4.3 | 8.3 | 9.5 |
Protective Devices | 32.0 | 31.8 | 38.2 | 23.2 | 30.6 | 31.9 |
Injury Examinatio | ||||||
Type of injury | 72.1 | 61.0 | 80.7 | 95.2 | 67.8 | 78.8 |
Injury anatomical location | 9.2 | 3.1 | 17.7 | 17.1 | 9.4 | 4.4 |
Defined Serious Injuries | 1.3 | 1.3 | 1.6 | 1.4 | 0.6 | 2.2 |
Emergency Unit details | ||||||
Interventions done at EU | 33.0 | 30.2 | 22.4 | 64.9 | 34.8 | 31.8 |
Time of EU departure | 15.3 | 14.8 | 21.1 | 15.2 | 13.7 | 11.9 |
EU disposition | 62.9 | 61.9 | 77.1 | 59.2 | 58.0 | 58.4 |