Beyond knowledge translation, to address the suboptimal rates of documentation that we found in this study, there are a number of diverse, innovative approaches which could be employed, including use of electronic medical records, and patient involvement.
We found documentation of differences of opinion regarding life support between family members and the intensivist in only 10% of charts.
We found suboptimal documentation in many areas of prenatal care and the observed rates of documentation did not increase across weight categories despite both increasing perinatal risks, and guidelines specifically addressing recommendations related to weight in obese women [ 12, 13].
Third, we found that documentation of ultrasonography examinations and storing of images was sparse.
We found that documentation of BMI varied widely by clinic site and was overall low.
We found no documentation of overall prognosis in the control group at either time period.
Finally, for several of these associations, we found no documentation in literature (e.g., between epilepsy and social integration).
We found little documentation of PRC membership or processes available in the public domain, raising questions about the transparency and/or accountabilities of PRCs across Canada.
We found sparse documentation of problem-oriented drug information and need of decision support associated with CAM in the literature, and believe the present pilot study could identify some challenges and areas of improvement for medicines (or drug) information centres.
However, we found that documentation of interventions was low, ranging from 40.3% (cholesterol measurement) to 0.9% (pneumococcal vaccination) within 1 year, and from 67.4% to 1.8% within the prior 3 years.
