Table 2.

Changes in completeness of documentation by site for 32 categories

	Site 1	Site 2		Site 1	Site 2
Demographics	Decline^a	Improve^a	X-ray results	Neutral	Improve
Age	Improve	Improve^a	ABG/VBG results	Improve	Improve
Presenting complaint	Improve	Improve^a	AMTS	Improve^a	Decline
History of presenting complaint	Neutral	Improve	CPR/escalation plan	Improve^a	Decline
Past medical history	Improve	Improve^a	Senior review	Improve	Improve^a
Drug history	Improve	Improve	Initial diagnosis	Improve^a	Improve
Where/who drug history elicited from	Improve	Decline	Diagnosis following PTWR	Improve	Improve^a
Allergies	Improve	Improve^a	Observations	Improve^a	Improve^a
Family history	Improve	Improve^a	Respiratory exam	Neutral	Improve^a
Social history	Improve	Improve	Cardiology exam	Improve	Improve^a
Smoking/alcohol status	Improve	Improve^a	Abdominal exam	Improve	Improve^a
Exercise tolerance	Decline	Improve^a	Neurological exam	Neutral	Improve^a
Impression/problem list	Improve	Improve	Date (of clerking)	Improve^a	Decline
Blood results	Neutral	Decline	Time (of clerking)	Neutral	Decline
Urinalysis results	Decline	Improve^a	Doctors name	Improve^a	Improve^a
ECG results	Improve	Improve^a	Consultant	Improve^a	Decline

↵^aThese fields show statistical significance (p<0.05)
ABG = arterial blood gas; AMTS = abbreviated mental test score; CPR = cardiopulmonary resuscitation; ECG = electrocardiogram; PTWR = post-take ward round; VBG = venous blood gas