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Table 3 Overview of statement presence in each of the six data sources

From: A descriptive exploratory study of how admissions caused by medication-related harm are documented within inpatients’ medical records

Data source No. of statements judged explicit (% of total possible statements) No. of statements judged implicit (% of total possible statements) Total/possible (% of total possible statements)
1. Accident & Emergency (A&E) Triage form 88 (37%) 23 (10%) 111/236 (47%)
2. A&E Clerking form 146 (63%) 21 (9%) 167/232 (72%)
3. Post-take ward round form 144 (50%) 34 (12%) 178/228 (78%)
4. Handwritten case notes at 3 pm 95 (42%) 17 (7%) 112/228 (49%)
5. Handwritten case notes at transfer 32 (28%) 8 (7%) 40/116 (35%)
6. Electronic Discharge Communication 200 (75%) 47 (18%) 247/267 (93%)
Total 705 150 855/1307 (65%)