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After teaching session Data point Cycle 1: Baseline Cycle 2: After teaching session Cycle 3: After pro-forma pilot, ALL DATA Cycle 3a: PRO-FORMA DATA ONLY Number of notes reviewed 17 18 4 (24%) Male: Female 7:10 11:7 10:7 3:1 Fall occurred out of hours 7 (41%) 12 (72%) 15 (88%) 4 (100%) Initial set of observations performed 13 (76%) 15 (83%) Initial set of neurological observations performed 6 (35%) 9 (50%) 11 (65%) Medical review performed 14 (78%) 13 (74%) Of those who were reviewed by a doctor   Fall history documented 9 (69%) 14 (100%) 13 (100%) Fracture examination performed 7 (54%) 9 (64%) 10 (77%) Anticoagulation review performed 3 (23%) 2 (14%) 5 (38%) Head injury assessment performed 13 (93%) 12 (92%)