Table 3.

Combined results across both sites for change in completeness of documentation with absolute numbers (out of 125), relative percentage changes and a number needed to treat analysis

	Pre	Post	Change expressed as NNT	Relative change	p-value
Demographics	108	108	–	Neutral	1
Age	100	119	6.58	19% improve	<0.001
Presenting complaint	112	125	9.62	11.6% improve	<0.001
History of presenting complaint	123	125	62.5	1.6% improve	0.15
Past medical history	106	123	7.35	16.0% improve	<0.001
Drug history	109	117	15.63	7.3% improve	0.08
Where/who drug history elicited from	15	17	62.5	13.3% improve	0.7
Allergies	84	111	4.63	32.1% improve	<0.001
Family history	33	59	4.81	78.8% improve	<0.001
Social history	106	114	15.63	7.5% improve	0.11
Smoking/alcohol status	62	100	3.29	61.3% improve	<0.001
Exercise tolerance	37	43	20.83	16.2% improve	0.41
Impression/problem list	111	117	20.83	5.4% improve	0.18
Blood results	110	112	62.5	1.8% improve	0.68
Urinalysis results	40	46	20.83	15% improve	0.42
ECG results	73	100	4.63	37.0% improve	<0.001
X-ray results	75	86	11.36	14.7% improve	0.14
ABG/VBG results	43	57	8.93	32.6% improve	0.07
AMTS	33	45	10.42	36.4% improve	0.1
CPR/escalation plan	10	29	6.58	190% improve	0.001
Senior review	43	54	11.36	25.6% improve	0.15
Initial diagnosis	39	47	15.63	20.5% improve	0.28
Diagnosis following PTWR	88	108	6.25	22.7% improve	0.002
Observations	101	117	7.81	15.8% improve	0.002
Respiratory exam	115	125	12.5	8.7% improve	0.001
Abdominal exam	113	124	11.36	9.7% improve	0.001
Neurological exam	63	78	8.33	23.8% improve	0.05
Date (of clerking)	120	123	41.67	2.5% improve	0.25
Time (of clerking)	114	110	–31.25	3.5% decline	0.4
Doctor's name	106	125	6.58	17.9% improve	<0.001
Consultant	33	52	6.58	57.6% improve	0.01

ABG = arterial blood gas; AMTS = abbreviated mental test score; CPR = cardiopulmonary resuscitation; ECG = electrocardiogram; PTWR = post-take ward round; NNT = number needed to treat; VBG = venous blood gas