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- Title
Evaluation of an Enhanced Discharge Summary Template: Building a Better Handoff Document.
- Authors
Smith, Christopher J.; Beachy, Micah; Vasey, Andrew; Langenhan, Trek; Shiffermiller, Jason
- Abstract
* Objective: To design and implement an enhanced discharge summary for use by internal medicine providers and evaluate its impact. * Methods. Pre/post-intervention study in which discharge summaries created in the 3 months before (n = 57) and 3 months after (n = 57) introduction of an enhanced discharge summary template were assessed using a 24-item scoring instrument. Measures evaluated included a composite discharge summary quality score, individual content item scores, global rating score, redundant documentation of consultants and procedures, documentation of non-active conditions, discharge summary word count, and time to completion. Physician satisfaction with the enhanced discharge summary was evaluated by survey. * Results: The composite discharge summary quality score increased following the intervention (19.07 vs. 13.37, P < 0.001). Ten items showed improved documentation, including documented need for follow-up tests, cognitive status, code status, and communication with the next provider. The global rating score improved from 3.04 to 3.46 (P = 0.01). Discharge summary word count decreased from 717 to 701 (P = 0.002), with no change in the time to discharge summary completion. Surveyed physicians reported improved satisfaction with the enhanced discharge summary compared with the prior template. * Conclusion: An enhanced discharge summary, designed to serve as a handoff between inpatient and outpatient providers, improved quality without negative effects on document length, time to completion, or physician satisfaction.
- Subjects
CHI-squared test; CONSENSUS (Social sciences); CUSTOMER satisfaction; DEMOGRAPHY; DOCUMENTATION; EXPERIMENTAL design; FISHER exact test; LENGTH of stay in hospitals; INTERNAL medicine; NURSING records; QUALITY assurance; SCALE analysis (Psychology); STATISTICS; T-test (Statistics); VOLUNTEERS; WORK design; DATA analysis; LITERATURE reviews; PATIENT discharge instructions; DATA analysis software; ELECTRONIC health records; DESCRIPTIVE statistics; MANN Whitney U Test
- Publication
Journal of Clinical Outcomes Management, 2017, Vol 24, Issue 12, p542
- ISSN
1079-6533
- Publication type
Article