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Table 2 Comparison of quality of referral letters

From: Referrals to a pediatric emergency department of a tertiary care teaching hospital before and after introduction of a referral education module - a quality improvement study

Components of referral Pre intervention phase n (%) Post intervention phase n (%) P value
Documentation of clinical findings and/or working diagnosis 3 (0.2) 187 (19.5) <  0.001
Documentation of pre-referral investigations 3 (0.2) 184 (19.2) <  0.001
Documentation of pre-referral stabilization / treatment 52 (3.7) 228 (23.8) <  0.001
Pre-referral communication with referred facility 0 0  
Information on caregiver counselling 0 10 (1) < 0.001
Transport details 0 16 (1.7) < 0.001
Healthcare provider accompanying transport 7 (0.5) 8 (0.8) 0.44
Overall referral letter score
 Median (IQR) 3.75 (2.75–4.0) 4.0 (3.0–4.75) <  0.001
 Good (8–10) 10 (0.7) 38 (4)  
 Fair (5–7) 86 (6.1) 171 (17.8) <  0.001
 Poor (0–4) 1307 (93.2) 748 (78.2)