Novel combined patient instruction and discharge summary tool improves timeliness of documentation and outpatient provider satisfaction

Gilliam, M.; Krein, Sarah L.; Belanger, Karen; Fowler, Karen E.; Dimcheff, Derek E.; Solomon, Gabriel

doi:10.1177/2050312117701053

Cited by 7 publications

(7 citation statements)

References 21 publications

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“…The needs for health lectures and online platforms were also unmet because of the existence of false information and digital gaps [ 34 , 35 ]. The accuracy of information was emphasized as a key to ensuring transitional care [ 36 ]. Therefore, it is urgent for transitional care teams to establish a reliable network platform and carry out credible TV education and health lectures.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with instrumental support in transitional care among older people with chronic disease: a cross-sectional study

et al. 2022

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Background Instrumental support, which is defined as practical, tangible, and informational assistance extended to patients, is crucial for older people in transition. However, little is known about instrumental support in transitional care. Thus, the aim of this study was to evaluate the instrumental support of older people in transitional care. Methods This cross-sectional study was conducted using the Questionnaire of Instrumental Support in Transitional Care (QISCT) to collect data from 747 older people in China from September to November 2020. Survey items consisted of a sociodemographic characteristics questionnaire and the QISCT. Multiple regression analyses were conducted to examine the association between independent variables and the QISCT scores. Results The total score of the QISCT was 39.43 (± 9.11), and there was a significant gap between the anticipated support and received support. The satisfaction of instrumental support was low. Multiple regression analyses showed that educational level, the number of intimate relationships, monthly family income, monthly costs of transitional care, diabetes, and chronic obstructive pulmonary disease were associated with instrumental support in transitional care. Conclusions To cope with the burden caused by chronic disease, the government and transitional care teams should establish a demand-oriented transitional care service model and pay more attention to helping older people obtain adequate and satisfactory instrumental support.

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Section: Discussionmentioning

confidence: 99%

Factors associated with instrumental support in transitional care among older people with chronic disease: a cross-sectional study

et al. 2022

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“…Some authors have sought to combat the delays in discharge summary distribution with innovative strategies such as electronic discharge summary programs. 4 , 7 , 8 Through a retrospective study, Reinke et al found that the electronic discharge summary programs increased the timeliness with which the discharge summaries were completed. Similarly, Gilliam et al used an electronic discharge summary tool to ensure that all discharge summaries were completed by the time of first postdischarge clinical contact, as opposed to 43% before their QI intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have sought to combat the delays in discharge summary distribution with innovative strategies such as electronic discharge summary programs 4,7,8 . Through a retrospective study, Reinke et al found that the electronic discharge summary programs increased the timeliness with which the discharge summaries were completed.…”

Section: Discussionmentioning

confidence: 99%

Improving Timeliness in Surgical Discharge Summary Distribution: A Quality Improvement Initiative

You¹,

Liu

Moist

et al. 2022

OTO Open

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Objective To implement a quality improvement initiative to achieve an institutional targeted discharge summary distribution metric of 50% within 48 hours of patient discharge from hospital within an academic tertiary care otolaryngology–head and neck surgery department. Methods A pre- and postintervention study was conducted. Process mapping was performed. Interventions included education and engagement, implementation of auto-authentication (distribution immediately following transcription without review by the most responsible physician), and audit and feedback. The percentage of discharge summaries dictated with the auto-authentication code was evaluated. Process measures were collected for 12 months pre- and postimplementation. Balancing measures included workload and revisions to auto-authenticated notes. Analysis included summary statistics, statistical process control charting, and unpaired t tests. Results The mean ± SD percentage of discharge summaries distributed within 48 hours increased from 19% ± 6.4% preintervention to 54% ± 20% postintervention ( P < .0001). Seventy-four percent of discharge summaries were dictated via the auto-authentication code. The target metric was met in 71% of discharges with the auto-authentication codes as compared with 26% with non–auto-authentication. The interventions did not result in any change to perceived workload, and the incidence of auto-authentication revisions was <1%. The results were sustained with an increase of 72% the following quarter. For fiscal year 2021-2022, performance remained sustained with an 85% completion rate. Discussion Our surgical department exceeded and sustained the targeted metric for timely discharge summary distribution using a quality improvement approach. Implications for Practice Timely distribution of discharge summaries optimizes patients’ transitions of care and can be achieved through stakeholder education and engagement, auto-authentication, and audit with feedback.

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“…Today, some electronic health records systems are easily able to summarize medical data and save the time of care providers 11 . Various studies have indicated that utilizing an electronic summary sheet (ESS), even if it requires manual data entry by health care providers and does not pull the data automatically from the hospital database, is desirable among care providers and improves the completeness and quality of documentation 12,13 . Experts believe summary sheets that are created automatically, compared to those that are created manually or dictated, are more likely to be filled out more quickly and are more acceptable for health care providers in both outpatient and inpatient departments as a result 14 …”

Section: Introductionmentioning

confidence: 99%

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

Shahbakhsh

Khajouei

Sabahi

et al. 2023

Health Science Reports

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Background and Aim: Iranian hospitals are provided with hospital information systems (HISs) from different vendors, which make it hardly possible to summarize laboratory data in an consistent manner. Therefore, there is a need to design a minimum data set of laboratory data that will define standard criteria and reduce potential medical errors. The purpose of this study was to design a minimum data set (MDS) of laboratory data for an electronic summary sheet to be used in the pediatric ward of Iranian hospitals.Methods: This study consists of three phases. In the first phase, out of 3997 medical records from the pediatric ward, 604 summary sheets were chosen as sample. The laboratory data of these sheets were examined and the recorded tests were categorized. In the second phase, based on the types of diagnosis we developed a list of tests. Then we asked the physicians of the ward to select which ones should be documented for each patient's diagnosis. In the third phase, the tests that were reported in 21%-80% of the records, and were verified by the same percentage of physicians, were evaluated by the experts' panel.Results: In the first phase, 10,224 laboratory data were extracted. Of these, 144 data elements reported in more than 80% of the records, and more than 80% of experts approved them to be included in the MDS for patients' summary sheet. After data elements were investigated in the experts' panel, 292 items were chosen for the final list of the data set.Conclusions: This MDS was designed such that, if implemented in hospital information systems, it could automatically enable registering data in the summary sheet when patient's diagnosis is registered.

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Novel combined patient instruction and discharge summary tool improves timeliness of documentation and outpatient provider satisfaction

Cited by 7 publications

References 21 publications

Factors associated with instrumental support in transitional care among older people with chronic disease: a cross-sectional study

Factors associated with instrumental support in transitional care among older people with chronic disease: a cross-sectional study

Improving Timeliness in Surgical Discharge Summary Distribution: A Quality Improvement Initiative

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

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