Literature DB >> 24621287

Method for improving the quality of discharge summaries written by a general medical team.

P Russell1, U Hewage, C Thompson.   

Abstract

We developed a writing rubric that assessed the quality of four common errors found in the synopsis of a discharge summary: relevance, accuracy, clarity and presentation (R-A-C-P). We assessed the effect of an intervention that taught the essentials of discharge summary preparation. The intervention reduced the number of inadequate discharge summaries written by medical staff on a busy medical service. Writing the clinical synopsis of a discharge summary is a skill that can be taught quickly.
© 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.

Keywords:  discharge summary; documentation; education; electronic medical record

Mesh:

Year:  2014        PMID: 24621287     DOI: 10.1111/imj.12362

Source DB:  PubMed          Journal:  Intern Med J        ISSN: 1444-0903            Impact factor:   2.048


  3 in total

1.  Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

Authors:  Natalie Wiebe; Lucia Otero Varela; Daniel J Niven; Paul E Ronksley; Nicolas Iragorri; Hude Quan
Journal:  J Am Med Inform Assoc       Date:  2019-11-01       Impact factor: 4.497

2.  The quality of dermatology consultation documentation in discharge summaries: a retrospective analysis.

Authors:  Cathy Y Zhao; Renette Y N Ang; Robert George; Mei-Heng Tan; Dedee F Murrell
Journal:  Int J Womens Dermatol       Date:  2016-03-02

3.  Development of a quality scoring tool to assess quality of discharge summaries.

Authors:  Stavros Savvopoulos; Tara Sampalli; Ruth Harding; Gail Blackmore; Sandra Janes; Kothai Kumanan; Rick Gibson; Chris MacKnight
Journal:  J Family Med Prim Care       Date:  2018 Mar-Apr
  3 in total

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