Table 3 Data consistency between the common data elements of the pre-hospital emergency care form and the emergency medical records
From: Data quality assessment in emergency medical services: an objective approach
Pre-hospital emergency care form Emergency medical records | Documented Fr (%) | Not documented Fr (%) | Total Fr (%) | P-value | |
|---|---|---|---|---|---|
Chief complaint | Documented | 353 (92.4) | 2 (100) | 355 (92.4) | > 0.05 |
Not documented | 29 (7.6) | 0 | 29 (7.6) | ||
Sum | 382 (100) | 2 (100) | 384 (100) | ||
Final Diagnosis | Documented | 133 (74.3) | 144 (70.2) | 277 (72.1) | > 0.05 |
Not documented | 46 (25.7) | 61 (29.8) | 107 (27.9) | ||
Sum | 179 (100) | 205 (100) | 384 (100) | ||
Drug allergies | Documented | 74 (29.2) | 32 (26.4) | 106 (27.6) | > 0.05 |
Not documented | 189 (70.8) | 89 (73.6) | 278 (72.4) | ||
Sum | 253 (100) | 121 (100) | 384 (100) | ||
Medical history | Documented | 183 (54.1) | 17 (36.9) | 200 (52.1) | 0.029 |
Not documented | 155 (45.9) | 29 (63.1) | 184 (47.9) | ||
Sum | 338 (100) | 46 (100) | 384 (100) | ||
Medication history | Documented | 163 (51.2) | 26 (39.4) | 189 (49.2) | > 0.05 |
Not documented | 155 (47.9) | 40 (60.6) | 195 (50.8) | ||
Sum | 318 (100) | 66 (100) | 384 (100) | ||
External cause of accident | Documented | 91 (39.4) | 0 | 91 (38.2) | 0.000 |
Not documented | 140 (60. 6) | 7 (100) | 147 (61.8) | ||
Sum | 231 (100) | 7 (100) | 238 (100) | ||