Literature DB >> 26348766

Discharge documentation improvement project: a pilot study.

B Tan1, B Mulo2, M Skinner3.   

Abstract

BACKGROUND: Discharge summaries remain a critical communication tool with primary care physicians. In a previous study of over 200 general medicine discharge summaries, we demonstrated that only 50% contain information regarding the indication and follow up required of any medicine changes on discharge. AIM: In this follow up pilot study, we assess the role of feedback and token incentives in improving discharge documentation.
METHODS: Over a 14-week period, we randomly audited a selection of discharge summaries on a fortnightly basis. The results of these audits were fed back to the junior medical staff who compiled these summaries. If over 80% of the audited discharge summaries adequately documented the indication, with required follow up for new medication changes, junior doctors were provided with a token, non-monetary incentive for their efforts. At the end of the study period, we then conducted a survey of the junior doctors involved and collected feedback regarding their impressions of the study.
RESULTS: Over the study period, 722 discharge summaries were completed and eligible for analysis. Over this time, mean appropriate documentation regarding medicine indication improved by 32%, and follow-up documentation improved by 10%. Overall, the participants felt the interventions were beneficial and that they should be continued beyond the study period.
CONCLUSIONS: Education coupled with regular feedback and non-monetary incentives can potentially lead to improvements in the quality of discharge summaries.
© 2015 Royal Australasian College of Physicians.

Entities:  

Keywords:  aftercare; communication; continuity of patient care; discharge summary; medication safety; quality improvement

Mesh:

Year:  2015        PMID: 26348766     DOI: 10.1111/imj.12895

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.  Improving the quality of discharge summaries through a direct feedback system.

Authors:  Charles H Earnshaw; Amanda Pedersen; Jo Evans; Tina Cross; Olivier Gaillemin; Arturo Vilches-Moraga
Journal:  Future Healthc J       Date:  2020-06

3.  The Effect of Medical Recording Training on Quantity and Quality of Recording in Gynecology Residents of Tabriz University of Medical Sciences.

Authors:  Manizheh Sayyah-Melli; Malahat Nikravan Mofrad; Abolghasem Amini; Zakieh Piri; Morteza Ghojazadeh; Vahideh Rahmani
Journal:  J Caring Sci       Date:  2017-09-01
  3 in total

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