Table 4

Chart reviewers’ assessments of clinical adequacy

PA or FY2 consultation recordJudgement of appropriateness
Medical historyExaminationRequest for radiography*Treatment plan and decisionAdvice givenFollow-up
AppropriateError or omissionAppropriateError or omissionAppropriateError or omissionAppropriateError or omissionAppropriateError or omissionAppropriateError or omission
Harm unlikelyAltered treatmentHarmHarm unlikelyAltered treatmentHarmHarm unlikelyAltered treatmentHarmHarm unlikelyAltered treatmentHarmHarm unlikelyAltered treatmentHarmHarm unlikelyAltered treatmentHarm
FY2n1460015500901014510411016300
%7037007525004505070255020550801500
PAn1351011710930013510311013410
%65255055355045150065255015550652050
Not rated*n11181293
%2.52.5452.5737.5
Totaln27111026121018310271020722029710
%6828306530304583066255018550731830
Agreement (Fleiss kappa, combined)0.010.150.260.15−0.030.30
Agreement (Fleiss kappa, per response)0.04−0.02−0.04n/a0.170.120.15n/a0.290.110.33n/a0.240.010.14n/a−0.000.110.08n/a0.360.200.28n/a
  • *Missing rating or rated as ‘not applicable’ if no request for radiography was made or no advice given.

  • FY2, foundation year two; PA, physician associates.