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.