Improving the quality of discharge summaries through a direct feedback system.

Safety care transition communication discharge summary quality improvement

Journal

Future healthcare journal
ISSN: 2514-6645
Titre abrégé: Future Healthc J
Pays: England
ID NLM: 101711246

Informations de publication

Date de publication:
Jun 2020
Historique:
entrez: 19 6 2020
pubmed: 19 6 2020
medline: 19 6 2020
Statut: ppublish

Résumé

There is a recognised need to improve the quality of discharge documentation to facilitate the safe and effective ongoing care of patients once they leave hospital. Previous studies have focused on individual interventions, such as teaching or feedback. Our continuous quality improvement project aims to improve the quality of discharge documentation at our hospital by providing a comprehensive overhaul of the education and feedback around discharge documentation. We designed a comprehensive data analysis tool to analyse the performance of our discharge summaries. We presented at clinical governance sessions and arranged numerous teaching sessions for junior doctors. We developed a live-feedback system based on the content of a sample set of the previous month's summaries, which included poster-based feedback and group teaching. Our interventions have significantly improved the quality of our discharge documentation across a broad range of categories, including the summary of the stay, actions for general practitioners and information given to patients in lay terminology. Our comprehensive quality improvement project has improved the quality of our discharge documentation. Further work aims to expand this project into a regional setting, as well as designing a strategy to maintain engagement of key stakeholders to ensure continued progress.

Identifiants

pubmed: 32550646
doi: 10.7861/fhj.2019-0046
pii: futurehealth
pmc: PMC7296566
doi:

Types de publication

Journal Article

Langues

eng

Pagination

149-154

Commentaires et corrections

Type : CommentIn

Informations de copyright

© Royal College of Physicians 2020. All rights reserved.

Références

Curr Drug Res Rev. 2019;11(1):58-66
pubmed: 30207223
Intern Med J. 2015 Dec;45(12):1280-5
pubmed: 26348766
Br J Hosp Med (Lond). 2017 Jan 2;78(1):20-22
pubmed: 28067568
CMAJ Open. 2018 Dec 3;6(4):E587-E593
pubmed: 30510042
Am J Med Sci. 2014 Jun;347(6):472-7
pubmed: 24845304
J Community Hosp Intern Med Perspect. 2018 Aug 23;8(4):182-186
pubmed: 30181822
BMJ Qual Improv Rep. 2014 Jan 08;2(2):
pubmed: 26734237
J Biomed Educ. 2015;2015:
pubmed: 26523277
Qual Saf Health Care. 2008 Feb;17(1):71-5
pubmed: 18245223
Ann Cardiol Angeiol (Paris). 2019 Jun;68(3):150-154
pubmed: 30409382
J Gen Intern Med. 2018 May;33(5):750-758
pubmed: 29352419
Circ Cardiovasc Qual Outcomes. 2015 Jan;8(1):109-11
pubmed: 25587092
BMJ Qual Saf. 2013 Sep;22(9):768-74
pubmed: 23704085
Health Inf Manag. 2014;43(3):4-12
pubmed: 27009792
Clin Teach. 2019 Oct;16(5):507-512
pubmed: 30378265
J Pharm Pract. 2020 Apr;33(2):173-175
pubmed: 30139290
Postgrad Med. 2015 Aug;127(6):630-9
pubmed: 26074128
Eur J Intern Med. 2013 Dec;24(8):779-83
pubmed: 24055382
Ann Intern Med. 2012 Sep 18;157(6):417-28
pubmed: 22986379
J Grad Med Educ. 2012 Mar;4(1):87-91
pubmed: 23451314
Int J Clin Pharm. 2017 Dec;39(6):1331-1337
pubmed: 29101617
Jt Comm J Qual Patient Saf. 2008 Aug;34(8):460-3
pubmed: 18714747
Am J Alzheimers Dis Other Demen. 2019 May;34(3):188-192
pubmed: 30595024
BMC Health Serv Res. 2018 Oct 11;18(1):770
pubmed: 30305104
BMJ. 1988 Sep 24;297(6651):784-7
pubmed: 3142550
Intern Med J. 2015 Dec;45(12):1302-5
pubmed: 26444698

Auteurs

Charles H Earnshaw (CH)

Salford Royal NHS Foundation Trust, Salford, UK.

Amanda Pedersen (A)

Salford Royal NHS Foundation Trust, Salford, UK.

Jo Evans (J)

Salford Royal NHS Foundation Trust, Salford, UK.

Tina Cross (T)

Salford Royal NHS Foundation Trust, Salford, UK.

Olivier Gaillemin (O)

Salford Royal NHS Foundation Trust, Salford, UK.

Arturo Vilches-Moraga (A)

Salford Royal NHS Foundation Trust, Salford, UK.

Classifications MeSH