Total agreement score | 24.973 (5.414) | 23.258 (5.322) | p Value 0.0299* | |||||
---|---|---|---|---|---|---|---|---|
Specific aspect of care | Pre-EMR agreement (n=75) | Post-EMR agreement (n=121) | OR (95% CI) | |||||
None | Partial | Complete | None | Partial | Complete | |||
Physician-nurse, n (%) | ||||||||
Primary diagnosis | 10 (13.3) | 18 (24.0) | 47 (62.7) | 13 (10.7) | 20 (16.5) | 88 (72.7) | 1.54 (0.84 to 2.81) | 0.16 |
Planned tests‡ | 13 (17.3) | 0 | 62 (82.7) | 32 (26.4) | 6 (5.0) | 83 (68.6) | 0.58 (0.28 to 1.20) | 0.14 |
Planned procedures‡ | 4 (5.3) | 0 | 71 (94.7) | 14 (11.6) | 1 (0.8) | 106 (87.6) | 0.43 (0.14 to 1.36) | 0.15 |
Medication changes | 31 (41.3) | 5 (6.7) | 39 (52.0) | 58 (47.9) | 11 (9.1) | 52 (43.0) | 0.73 (0.42 to 1.27) | 0.26 |
Pending consultations | 12 (16.0) | 3 (4.0) | 60 (80.0) | 26 (21.5) | 11 (9.1) | 84 (69.4) | 0.59 (0.30 to 1.16) | 0.13 |
Expected LOS‡ | 17 (22.7) | 32 (42.7) | 26 (34.7) | 54 (44.6) | 24 (19.8) | 43 (35.5) | 0.36 (0.19 to 0.70) | 0.002* |
Physician-patient, n (%) | ||||||||
Primary diagnosis | 16 (21.3) | 15 (20.0) | 44 (58.7) | 22 (18.2) | 25 (20.7) | 74 (61.2) | 1.14 (0.64 to 2.01) | 0.66 |
Planned tests | 20 (26.7) | 1 (1.3) | 54 (72.0) | 39 (32.2) | 2 (1.7) | 80 (66.1) | 0.76 (0.41 to 1.42) | 0.39 |
Planned procedures‡ | 5 (6.7) | 0 | 70 (93.3) | 19 (15.7) | 1 (0.8) | 101 (83.5) | 0.38 (0.14 to 1.08) | 0.068† |
Medication changes | 40 (53.3) | 6 (8.0) | 29 (38.7) | 66 (54.5) | 6 (5.0) | 49 (40.5) | 1.00 (0.57 to 1.77) | 0.99 |
Pending consultations | 20 (26.7) | 3 (4.0) | 52 (69.3) | 44 (36.4) | 14 (11.6) | 63 (52.1) | 0.53 (0.29 to 0.95) | 0.033* |
Expected LOS‡ | 23 (30.7) | 28 (37.3) | 23 (30.7) | 66 (54.5) | 18 (14.9) | 37 (30.6) | 0.38 (0.21 to 0.69) | 0.002* |
Measures of agreement were categorised as none (0), partial (1), or complete (2) agreement. No agreement served as the reference group.
*p Value <0.05.
†p Value <0.10.
‡Proportional odds assumption violated. p Value based from binary logistic regression modelling ‘At Least Partial Agreement’ versus ‘No Agreement’.
EMR, Electronic medical record; LOS, Length of stay.