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Improving the quality of electronic discharge summaries from medical wards: A quality improvement project

Glesni Davies, Stephanie Kean and Indrajit Chattopadhyay
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DOI: https://doi.org/10.7861/fhj.2020-0072
Future Healthc J March 2021
Glesni Davies
AGlan Clwyd Hospital, Rhyl, UK
Roles: specialty trainee geriatrician
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  • For correspondence: glesni.davies@wales.nhs.uk
Stephanie Kean
BGlan Clwyd Hospital, Rhyl, UK
Roles: foundation trainee
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Indrajit Chattopadhyay
CGlan Clwyd Hospital, Rhyl, UK
Roles: consultant geriatrician
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    Fig 1.

    Audit pro forma for e-discharge.

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    Table 1.

    Quality of e-discharges of all sections from audits and workshop

    Audit 1, n=66Audit 2, n=66p value (compared with audit 1)Workshop attendees, n=33p value (compared with audit 1)
    Allergies recorded86.0%86.0%NS87.9%NS
    Allergy nature stated4.76%35%0.01650.0%0.0027
    Presenting complaint adequate90.9%92.4%NS97.0%NS
    Clinical findings adequate90.9%86.3%NS90.9%NS
    Test results adequate54.5%84.8%<0.00190.9%<0.001
    Diagnosis adequate74.2%80.3%NS84.8%NS
    Progress and outcome adequate48.5%72.7%<0.0190.9%<0.001
    Advice and recommendations adequate86.4%83.3%NS84.8%NS
    All sections of adequate quality21.2%34.8%NS54.5%<0.001
    • NS = not significant.

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    Table 2.

    Results of additional information

    Audit 1, n=66Audit 2, n=66p value (compared with audit 1)Workshop attendees, n=33p value (compared with audit 1)
    Past medical history documented31.8%53.0%0.01667.0%<0.001
    Resuscitation/escalation decision documented11.8%30.0%NS40.0%NS
    • NS = not significant.

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    Box 1.

    Examples of inappropriate requests made to general practitioners on e-discharges

    Please chase anti-tissue transglutaminase antibodies
    Review vitamin B12 bloods
    Please re-check urea and electrolytes and magnesiumin 1 week
    Please chase HIV results
    Please arrange for Ferinject® once antibiotics finished
    General practitioner kindly chase serum electrophoresis results
    3/7 Phosphate Sandoz® prescribed; please check bloods on completion of this course
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Improving the quality of electronic discharge summaries from medical wards: A quality improvement project
Glesni Davies, Stephanie Kean, Indrajit Chattopadhyay
Future Healthc J Mar 2021, 8 (1) e113-e116; DOI: 10.7861/fhj.2020-0072

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Improving the quality of electronic discharge summaries from medical wards: A quality improvement project
Glesni Davies, Stephanie Kean, Indrajit Chattopadhyay
Future Healthc J Mar 2021, 8 (1) e113-e116; DOI: 10.7861/fhj.2020-0072
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