Review article: Components of a good quality discharge summary: a systematic review.

Show simple item record Wimsett, Jordon en Harper, Alana en Jones, Peter en 2018-10-02T02:49:08Z en 2014-10 en
dc.identifier.issn 1742-6731 en
dc.identifier.uri en
dc.description.abstract OBJECTIVE: The present study aims to inform the use of discharge summaries as a marker of the quality of communication between ED and primary care; this systematic review aims to identify a consensus on the key components of a high-quality discharge summary. METHOD: A systematic search of the major medical and allied health databases and Google Scholar was conducted, using predetermined criteria for inclusion. Two authors independently reviewed the full texts of potentially relevant studies to determine eligibility for inclusion. Data were extracted using a standard form, and the level of evidence was assessed using a predetermined scale. RESULTS: We screened 827 articles, and 84 articles underwent full-text review. Thirty-two studies were included, and 15 studies were level A or B studies. The agreement between authors for level of evidence was good: k = 0.62 (95% confidence interval [CI] 0.4-0.84) and for which components were included was 1011/1056, 95.7% (95% CI 94.3-96.8%). Thirty-four components were identified; however, only four were ranked as important by ≥80% of respondents or scored ≥80% on a scale of importance. These were: discharge diagnosis, treatment received, investigation results and follow-up plan. The quality of information contained in summaries was incompletely assessed in most studies. CONCLUSION: The key components to include in a discharge summary are the discharge diagnosis, treatment received, results of investigations and the follow up required. The limited evidence pertaining to ED discharges was consistent with this. The adequacy of the components rather than just their presence or absence should also be considered when assessing the quality of discharge summaries. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Emergency medicine Australasia : EMA en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Humans en
dc.subject Communication en
dc.subject Emergency Service, Hospital en
dc.subject Quality of Health Care en
dc.subject Patient Discharge Summaries en
dc.title Review article: Components of a good quality discharge summary: a systematic review. en
dc.type Journal Article en
dc.identifier.doi 10.1111/1742-6723.12285 en
pubs.issue 5 en
pubs.begin-page 430 en
pubs.volume 26 en
dc.rights.holder Copyright: The author en
pubs.end-page 438 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Review en
pubs.subtype Journal Article en
pubs.elements-id 684983 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1742-6723 en
pubs.record-created-at-source-date 2014-10-01 en
pubs.dimensions-id 25186466 en

Files in this item

There are no files associated with this item.

Find Full text

This item appears in the following Collection(s)

Show simple item record


Search ResearchSpace