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Figures
- Fig 1.
Audit pro forma for e-discharge.
Tables
Audit 1, n=66 Audit 2, n=66 p value (compared with audit 1) Workshop attendees, n=33 p value (compared with audit 1) Allergies recorded 86.0% 86.0% NS 87.9% NS Allergy nature stated 4.76% 35% 0.016 50.0% 0.0027 Presenting complaint adequate 90.9% 92.4% NS 97.0% NS Clinical findings adequate 90.9% 86.3% NS 90.9% NS Test results adequate 54.5% 84.8% <0.001 90.9% <0.001 Diagnosis adequate 74.2% 80.3% NS 84.8% NS Progress and outcome adequate 48.5% 72.7% <0.01 90.9% <0.001 Advice and recommendations adequate 86.4% 83.3% NS 84.8% NS All sections of adequate quality 21.2% 34.8% NS 54.5% <0.001 NS = not significant.
Audit 1, n=66 Audit 2, n=66 p value (compared with audit 1) Workshop attendees, n=33 p value (compared with audit 1) Past medical history documented 31.8% 53.0% 0.016 67.0% <0.001 Resuscitation/escalation decision documented 11.8% 30.0% NS 40.0% NS NS = not significant.
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
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