Schwarz, Christine Maria Hoffmann, Magdalena Smolle, Christian Eiber, Michael Stoiser, Bianca Pregartner, Gudrun Kamolz, Lars-Peter Sendlhofer, Gerald
Published in
Journal of evaluation in clinical practice
The discharge summary (DS) is one of the most important instruments to transmit information to the treating general physician (GP). The objective of this study was to analyse important components of DS, structural characteristics as well as medical and general abbreviations. One hundred randomly selected DS from five different clinics were evaluate...
Tremoulet, Patrice D Shah, Priyanka D Acosta, Alisha A Grant, Christian W Kurtz, Jon T Mounas, Peter Kirchhoff, Michael Wade, Elizabeth
Published in
Journal of Medical Internet Research
Background Obtaining accurate clinical information about recent acute care visits is extremely important for outpatient providers. However, documents used to communicate this information are often difficult to use. This puts patients at risk of adverse events. Elderly patients who are seen by more providers and have more care transitions are especi...
Davies, Glesni Kean, Stephanie Chattopadhyay, Indrajit
Published in
Future Healthcare Journal
Introduction The electronic discharge (e-discharge) summary forms an essential component of communication between secondary and primary care. However, its content and quality can often be substandard due to inadequate or inaccurate information. Method Two retrospective audits were completed with intervening e-discharge workshops. Local general prac...
Wiebe, Natalie Xu, Yuan Shaheen, Abdel Aziz Eastwood, Catherine Boussat, Bastien Quan, Hude
Published in
International Journal of Population Data Science
Introduction and Objectives Electronic medical records (EMRs), specifically the discharge summary (DS), can improve secondary use data availability and interprofessional communication. We aimed to describe the completeness of our EMRs by assessing the presence of a DS in the EMR. Additionally, we assessed for indicators of a missing DS. Methods A c...
Earnshaw, Charles H Pedersen, Amanda Evans, Jo Cross, Tina Gaillemin, Olivier Vilches-Moraga, Arturo
Published in
Future Healthcare Journal
Introduction There is a recognised need to improve the quality of discharge documentation to facilitate the safe and effective ongoing care of patients once they leave hospital. Previous studies have focused on individual interventions, such as teaching or feedback. Our continuous quality improvement project aims to improve the quality of discharge...
Hoffmann, Magdalena Schwarz, Christine Maria Pregartner, Gudrun Weinrauch, Maximilian Jantscher, Lydia Kamolz, Lars Brunner, Gernot Sendlhofer, Gerald
Published in
BMJ open
The discharge summary (DS) represents one of the most important instruments to ensure a safe patient discharge from the hospital. They sometimes have poor quality in content and often include medical jargon, which the patient and their relatives cannot easily understand. Therefore, many risks for patient safety exist. This study investigated the qu...
Bougeard, Anne-Marie Watkins, Beverley
Published in
Clinical Medicine
The perioperative period extends from the moment of contemplation of surgery through to recovery at home. Patients on a surgical pathway will experience multiple transition points in their care. As we move to more collaborative working and caring for increasingly medically complex patients, we must establish robust processes to mitigate against the...
Stein, Jacob N. Klein, Jared W. Payne, Thomas H. Jackson, Sara L. Peacock, Sue Oster, Natalia V. Carpenter, Trinell P. Elmore, Joann G.
Published in
Applied Clinical Informatics
Background Patient portals are expanding as a means to engage patients and have evidence for benefit in the outpatient setting. However, few studies have evaluated their use in the inpatient setting, or with vulnerable patient populations. Objective This article assesses an intervention to teach hospitalized vulnerable patients to access their disc...
Miller, Nikki Shuler, John Hayley, Deon He, Jianghua Porter-Williamson, Karin Kalender-Rich, Jessica
Published in
Journal of palliative medicine
More than one in five DSs lacked any code words of the completed PC consultation and more than one in three DSs lacked mention of PC. As DSs are the main source of provider communication, it is critical they reflect the key discussion points from the PC consultation, which will improve the transition of care and provider communication.
Gilliam, Meredith Krein, Sarah L Belanger, Karen Fowler, Karen E Dimcheff, Derek E Solomon, Gabriel
Published in
SAGE open medicine
Incomplete or delayed access to discharge information by outpatient providers and patients contributes to discontinuity of care and poor outcomes. To evaluate the effect of a new electronic discharge summary tool on the timeliness of documentation and communication with outpatient providers. In June 2012, we implemented an electronic discharge summ...
