Information (Table 2)
Some information such as underlying respiratory diagnoses and
accompanying comorbidities was always found, often at the beginning of
the admission notes. Other information, such as the family’s hopes for
the child was more difficult to locate in the electronic medical record
(EMR) and often not found at all. Informal observations indicated that
finding answers to each of the individual questions was time consuming
since answers were usually found in different locations in the EMR and
documented in variable ways. On only one occasion were the answers to
all the questions consolidated in a single note.