Standard required | % Charts with non-compliances | |
Electronic charts | Paper charts | |
Discontinued medicines procedure followed | 100 | 100 |
Signed by prescriber | 100 | 95 |
Each entry must be dated | 100 | 95 |
Dosage form documented | 100 | 82 |
State route of administration correctly | 100 | 64 |
Legible | 100 | 59 |
No abbreviations | 100 | 41 |
Time of administration indicated | 95 | 73 |
Appropriate units stated | 95 | 5 |
Dose stated | 91 | 86 |
Generically stated where appropriate | 64 | 18 |
Infusions—infusion rate and concentration should be stated | 45 | 82 |
“As required” doses must have a dosing frequency, indication and maximum daily dose stated | 5 | 19 |