Table 1 Audited items
Audited items | Rating Options |
|---|---|
Secondary diagnosis | Adequate or inadequate |
Chief complaint | Not applicable, adequate or inadequate |
History of presenting complaint | Not applicable, adequate or inadequate |
Past medical history | Not applicable, adequate or inadequate |
Medication history | Not applicable, adequate or inadequate |
Complete medical history | Not applicable, adequate, inadequate or incomplete |
Physical exam | Adequate or inadequate |
Diagnostic testing | Not applicable, adequate or inadequate |