In the Department of Paediatrics at CHBAH, each discharge summary
is completed by hand, in triplicate, using a carbon-paper pro forma template; one copy of the summary is filed in the patient-retained outpatient file and the second in the hospital archive, while the third is sent for capture into an electronic database maintained by the Respiratory and Meningeal Pathogens Research Unit (RMPRU).
Aspects of discharge summary
in this study: 16.2% of inpatient medical record is incomplete in comparison with study done in Canada which shows discharge summaries were assessed for completeness and accuracy.
Regarding discharge summaries we may state that the documentation they receive at the end of their treatment in Hungary can be used abroad providing continuity of care (26), since language barriers do not play a significant role and the content might be coherent with a standardised, harmonised EU-wide discharge summary
The electronic patient record system of the Trust (PARIS: Patient Record Information System) was used to study the discharge summary
Information on all of the patient's prescription and nonprescription medications should be collected from the patient/ caregiver, the discharge summary
, prescription bottles, home visits, and pharmacies.
Get copies of investigation reports and discharge summary
for own records as the original papers will be kept by the hospital.
* to analyse the quality of injury-related information from the key source documents: Discharge Summary
; Ambulance Report; Emergency Department notes; and Progress Notes in the medical record
"This is a way patients can exchange that information with health care providers and the health care providers can efficiently receive information about patients, whether it's lab reports, a discharge summary
or their prescription history."
When a person is discharged from the hospital, a discharge summary
Stage 2 advances to two very high-priority use cases for transitions in care: for hospitals, the discharge summary
, and for EPs, the referral request.
The patient / attendant should clearly be informed about the importance of the pending test result and it should be endorsed in the discharge summary
for appropriate follow up.
They didn't admit her or treat her because she was not carrying any reports or the discharge summary