discharge summary
Jump to navigation
Jump to search
Introduction
also see hospital discharge
Procedure
- dates of admission & discharge
- reason for hospitalization
- discharge diagnosis
- significant findings from admission workup
- history and physical examination
- laboratory studies
- imaging studies (Radiology)
- other tests
- procedures
- condition at discharge
- discharge medications
- include discussion on changes to admission medications
- follow-up issues
- pending studies & laboratory tests
- counseling provided to patient & family
- follow-up appointments/plans[2]
* 1% increase in 30-day readmissions for every 3-day delay in hospital discharge summary[9]
- mean time to hospital discharge summary completion is 8 days[9]
- 43% of hospital readmissions occur before hospital discharge summary available[9]
More general terms
Additional terms
References
- ↑ Kane RL. Finding the right level of posthospital care: "We didn't realize there was any other option for him". JAMA. 2011 Jan 19;305(3):284-93. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21245184
- ↑ 2.0 2.1 Medical Knowledge Self Assessment Program (MKSAP) 16, 17. American College of Physicians, Philadelphia 2012, 2015
- ↑ Kripalani S, Jackson AT, Schnipper JL, Coleman EA. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. 2007 Sep;2(5):314-23. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17935242
- ↑ Kanaan AO et al. Adverse drug events after hospital discharge in older adults: Types, severity, and involvement of Beers criteria medications. J Am Geriatr Soc 2013 Nov; 61:1894 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24116689
- ↑ Dhalla IA et al. Effect of a postdischarge virtual ward on readmission or death for high-risk patients: A randomized clinical trial. JAMA 2014 Oct 1; 312:1305 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25268437
- ↑ Goldman LE et al. Support from hospital to home for elders: A randomized trial. Ann Intern Med 2014 Oct 7; 161:472 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25285540
- ↑ Makaryus AN, Friedman EA. Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005 Aug;80(8):991-4. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16092576
- ↑ Roy CL, Poon EG, Karson AS et al Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005 Jul 19;143(2):121-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16027454
- ↑ 9.0 9.1 9.2 9.3 Hoyer EH, Odonkor CA, Bhatia SN et al. Association between days to complete inpatient discharge summaries with all-payer hospital readmissions in Maryland. J Hosp Med 2016 Jun; 11:393. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26913814