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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