| Variable | Doctors (N = 513) | Nurses (N = 513) | C P-value |
| History | |||
| Not documented | 130 (25) | 406 (79) |
|
| Partially documented | 13 (3) | 35 (7) |
|
| Fully documented | 370 (72) | 72 (14) | <0.0001 |
| Physical examination | |||
| Not documented | 104 (20) | 407 (79) |
|
| Partially documented | 359 (70) | 72 (14) |
|
| Fully documented | 50 (10) | 34 (7) | <0.0001 |
| Diagnosis | |||
| Not documented | 38 (7) | 435 (85) |
|
| Partially documented | 72 (14) | 76 (15) |
|
| Fully documented | 403 (79) | 2 (0) | <0.0001 |
| Plan of care | |||
| Not documented | 23 (5) | 443 (86.4) |
|
| Partially documented | 192 (37) | 66 (13.4) |
|
| Fully documented | 297 (58) | 4 (0.2) | <0.0001 |
| Implementation of care | |||
| Not documented | 137 (27) | 422 (82) |
|
| Partially documented | 186 (36) | 61 (12) |
|
| Fully documented | 190 (37) | 30 (6) | <0.0001 |
| Completion of records | |||
| Not documented | 36 (7) | 127 (25) |
|
| Partially documented | 108 (21) | 308 (60) |
|
| Fully documented | 369 (72) | 78 (15) | <0.0001 |