Table 2.
Frequency of inclusion of each information item on data schedule
|
Item on observation tool n = 28 |
High-risk* Frequency (%) n = 266 |
Active labour Frequency (%) n = 94 |
Not active labour/high-risk Frequency (%) n = 347 |
Total Frequency (%) n = 666 |
|---|---|---|---|---|
| Situation | ||||
| Lead identified | 266 (100) | 94 (100) | 347 (100) | 666 (100) |
| Location | 266 (100) | 93 (99) | 345 (99) | 663 (99) |
| Woman's' Name | 177 (66) | 68 (72) | 236 (68) | 445 (67) |
| Vital signs | 79 (30) | 56 (60) | 39 (11) | 152 (23) |
| Specific concerns about woman | 51 (19) | 20 (21) | 27 (8) | 84 (13) |
| Gravidity/Parity | 26 (10) | 41 (44) | 12 (3) | 65 (10) |
| Key woman's values | 22 (8) | 6 (6) | 19 (5) | 43 (6) |
| Gestation | 14 (5) | 14 (15) | 3 (1) | 23 (3) |
| Age | 5 (2) | 4 (4) | 5 (1) | 12 (2) |
| Resuscitation status | 9 (3) | 5 (5) | 1 (0) | 10 (2) |
| Median (IQR) | 3 (3–4) | 4 (3–5) | 3 (2–3) | 3 (3–4) |
| Background | ||||
| Current medications | 135 (51) | 20 (21) | 112 (32) | 253 (38) |
| Main complaint | 151 (57) | 48 (51) | 66 (19) | 236 (35) |
| Brief history | 117 (44) | 47 (50) | 91 (26) | 229 (34) |
| Admission date | 109 (41) | 56 (60) | 78 (22) | 222 (33) |
| Diagnosis/Active problems | 111 (42) | 38 (40) | 61 (18) | 182 (27) |
| Other chart information | 39 (15) | 45 (48) | 35 (10) | 105 (16) |
| Physical examination results | 47 (18) | 68 (72) | 8 (2) | 98 (15) |
| Progress from admission | 101 (38) | 55 (58) | 140 (40) | 81 (12) |
| Treatment response | 38 (14) | 4 (4) | 17 (5) | 56 (8) |
| Laboratory results | 29 (11) | 17 (18) | 13 (4) | 48 (7) |
| Allergies | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| Median (IQR) | 3 (2–4) | 4 (3–6) | 1 (1–2) | 2 (1–4) |
| Assessment | ||||
| Clinical impression of woman | 137 (52) | 54 (57) | 177 (51) | 344 (52) |
| Critical assessment of situation | 54 (20) | 26 (28) | 23 (7) | 85 (13) |
| Concerns/problems | 49 (18) | 24 (25) | 23 (7) | 81 (12) |
| Median (IQR) | 1 (0–1) | 1 (0–2) | 1 (0–1) | 1 (1–1) |
| Recommendations | ||||
| Management plan | 139 (52) | 54 (57) | 142 (41) | 302 (45) |
| Time scale | 60 (23) | 20 (21) | 40 (12) | 106 (16) |
| Requests/Tests | 50 (19) | 22 (23) | 34 (10) | 92 (14) |
| Critical features of management | 44 (16) | 14 (15) | 12 (3) | 59 (9) |
| Median (IQR) | 1 (0–2) | 1 (0–2) | 0 (0–1) | 0 (0–1) |
| Summary data | ||||
| Median no. items handed over (IQR) | 8 (5–11) | 10 (8–14) | 5 (4–7) | 6 (5–9) |
| Global comments** n (%) | 5 (2) | 5 (2) | 98 (28) | 206 (31) |
*'high-risk' as defined by National Institute for Health and Care Excellence and WHO guidelines. For breakdown of conditions observed see Additional File 6 and Methods
**Global comments included, "normal delivery", "post caesarean section", "stable", "you know her", "no problems" and "continue treatment"