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Table 2 Unadjusted rates of completion of medical record documentation among internists and pediatricians for each of five selected measures.*

From: Quality and correlates of medical record documentation in the ambulatory care setting

Measure

Internists (N = 117) N (%) or mean ± sd

Pediatricians (N = 50) N (%) or mean ± sd

Smoking History

221 (37.8)

51 (20.4)

Drug Allergies

360 (61.6)

126 (50.4)

Medications

535 (91.6)

212 (84.8)

Screening Guidelines

514 (88.0)

227 (90.8)

Immunizations

562 (96.2)

250 (100)

  1. *Rates are crude (unadjusted) percentage of records with each measure documented. For internists, 584 patient records were reviewed; for pediatricians, 250 patient records. sd represents standard deviation