Titre : Comptes-rendus de sortie des patients

Comptes-rendus de sortie des patients : Questions médicales fréquentes

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"MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Comptes-rendus de sortie des patients", "description": "Quels types de traitements sont documentés ?\nComment les traitements sont-ils justifiés ?\nLes traitements sont-ils suivis d'effets secondaires ?\nComment les traitements sont-ils planifiés ?\nLes traitements sont-ils adaptés après la sortie ?", "url": "https://questionsmedicales.fr/mesh/D063886?page=5#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Comptes-rendus de sortie des patients", "description": "Quelles complications peuvent survenir après la sortie ?\nComment les complications sont-elles signalées ?\nLes complications sont-elles documentées dans le rapport ?\nComment prévenir les complications après la sortie ?\nLes complications influencent-elles le suivi ?", "url": "https://questionsmedicales.fr/mesh/D063886?page=5#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Comptes-rendus de sortie des patients", "description": "Quels facteurs de risque sont souvent identifiés ?\nComment les facteurs de risque sont-ils évalués ?\nLes facteurs de risque influencent-ils le traitement ?\nLes facteurs de risque sont-ils notés dans le compte-rendu ?\nComment réduire les facteurs de risque après la sortie ?", "url": "https://questionsmedicales.fr/mesh/D063886?page=5#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Quels diagnostics sont souvent notés dans un compte-rendu ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Les diagnostics incluent des maladies aiguës, chroniques et des complications post-opératoires." } }, { "@type": "Question", "name": "Comment le diagnostic est-il confirmé dans le rapport ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic est confirmé par des examens cliniques, des tests de laboratoire et des imageries." } }, { "@type": "Question", "name": "Quelle est l'importance du diagnostic dans le compte-rendu ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Il guide le suivi médical et les traitements à administrer après la sortie." } }, { "@type": "Question", "name": "Les diagnostics sont-ils classés dans le compte-rendu ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils sont souvent classés par ordre de gravité ou de chronologie." } }, { "@type": "Question", "name": "Comment les diagnostics influencent-ils le traitement ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Ils déterminent les protocoles de traitement et les médicaments prescrits." } }, { "@type": "Question", "name": "Quels symptômes sont souvent mentionnés ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, fièvre, fatigue et autres signes cliniques pertinents." } }, { "@type": "Question", "name": "Comment les symptômes sont-ils évalués ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont évalués par l'examen physique et les antécédents médicaux du patient." } }, { "@type": "Question", "name": "Les symptômes changent-ils après le traitement ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le compte-rendu note souvent l'évolution des symptômes post-traitement." } }, { "@type": "Question", "name": "Les symptômes sont-ils classés par gravité ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent être classés en fonction de leur impact sur la santé du patient." } }, { "@type": "Question", "name": "Comment les symptômes influencent-ils le suivi ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Ils orientent les recommandations de suivi et les consultations nécessaires." } }, { "@type": "Question", "name": "Quelles mesures préventives sont recommandées ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Les mesures incluent vaccinations, conseils diététiques et exercices physiques." } }, { "@type": "Question", "name": "Comment la prévention est-elle abordée dans le rapport ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Elle est abordée par des recommandations spécifiques basées sur le diagnostic." } }, { "@type": "Question", "name": "La prévention est-elle personnalisée ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle est souvent adaptée aux antécédents médicaux et au mode de vie du patient." } }, { "@type": "Question", "name": "Quels conseils de prévention sont souvent inclus ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des conseils sur l'alimentation, l'exercice et l'arrêt du tabac sont fréquents." } }, { "@type": "Question", "name": "La prévention est-elle suivie après la sortie ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le suivi des mesures préventives est souvent recommandé lors des consultations." } }, { "@type": "Question", "name": "Quels types de traitements sont documentés ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent médications, interventions chirurgicales et thérapies physiques." } }, { "@type": "Question", "name": "Comment les traitements sont-ils justifiés ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont justifiés par les diagnostics et l'évolution des symptômes du patient." } }, { "@type": "Question", "name": "Les traitements sont-ils suivis d'effets secondaires ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les effets secondaires potentiels sont souvent notés pour chaque traitement." } }, { "@type": "Question", "name": "Comment les traitements sont-ils planifiés ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont planifiés en fonction des besoins individuels et des protocoles médicaux." } }, { "@type": "Question", "name": "Les traitements sont-ils adaptés après la sortie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des ajustements peuvent être nécessaires en fonction de l'évolution du patient." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après la sortie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent infections, douleurs persistantes et complications liées aux traitements." } }, { "@type": "Question", "name": "Comment les complications sont-elles signalées ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Elles sont signalées par des observations cliniques et des tests de suivi." } }, { "@type": "Question", "name": "Les complications sont-elles documentées dans le rapport ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles sont souvent documentées pour informer le suivi médical." } }, { "@type": "Question", "name": "Comment prévenir les complications après la sortie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "La prévention passe par des soins appropriés et le respect des recommandations médicales." } }, { "@type": "Question", "name": "Les complications influencent-elles le suivi ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles peuvent nécessiter des consultations supplémentaires et des ajustements de traitement." } }, { "@type": "Question", "name": "Quels facteurs de risque sont souvent identifiés ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'âge, les antécédents familiaux et les habitudes de vie." } }, { "@type": "Question", "name": "Comment les facteurs de risque sont-ils évalués ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Ils sont évalués par l'anamnèse et des tests de dépistage spécifiques." } }, { "@type": "Question", "name": "Les facteurs de risque influencent-ils le traitement ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent orienter les choix thérapeutiques et les recommandations de suivi." } }, { "@type": "Question", "name": "Les facteurs de risque sont-ils notés dans le compte-rendu ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils sont souvent notés pour une meilleure gestion des soins futurs." } }, { "@type": "Question", "name": "Comment réduire les facteurs de risque après la sortie ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "La réduction passe par des changements de mode de vie et un suivi médical régulier." } } ] } ] }

Sources (10000 au total)

Talking About Notes: Using a Design-Based Research Approach to Develop a Discharge Summary Template on a Geriatric Inpatient Unit.

Discharge summaries are important educational tools, guiding trainees in their collection and documentation of data. As geriatric competencies are integrated in medical curricula, documentation on in-... A mixed-methods, designed-based research approach was used to assess note quality on a geriatric in-patient unit and iteratively co-develop a template with examples through three phases: 1) needs asse... Sixty-eight discharge summaries were assessed by five geriatricians, with 14 gaps identified. Many of these reflected elements that were present but addressed generically without attention to the spec... The identification of gaps in geriatric discharge summaries allowed for the co-development of an instructional template and examples that goes beyond simple headings and highlights the importance of a...

The Use of Multifamily Discharge Preparation Groups in the Discharge Process of Patients with Schizophrenia.

After acute treatment, patients with schizophrenia return to their original living environment for further rehabilitation, which not only determines the quality of life of the patients and their famil... The multifamily group intervention method was used to improve the motivation of the patients' family motivation as well as the discharge readiness and self-efficacy of the patient.... After the intervention, the motivation of the family and discharge readiness of the patient were improved compared with that of the baseline period; however, the improvement was not significant. The s... In the discharge preparation of schizophrenia patients, multifamily teams can be used to help patients and their families share resources, enhance support and prepare for discharge. Patients will have...

Large language models can effectively extract stroke and reperfusion audit data from medical free-text discharge summaries.

Audits are an integral part of effective modern healthcare. The collection of data for audits can be resource intensive. Large language models (LLM) may be able to assist. This pilot study aimed to as... Discharge summaries from a one-month retrospective cohort of stroke admissions at a tertiary hospital were collected. A locally-deployed LLM, LLaMA3, was then used to extract a variety of routine stro... Overall, there was a total of 144 data points that were extracted (9 data points for each of the 16 patients). The LLM was correct in 135/144 (93.8%) of individual datapoints. This performance include... LLM may be able to assist with the efficient collection of stroke audit data. Such approaches may be pursued in other specialties. Future studies should seek to examine the most effective way to deplo...

Summary of the best evidence for the management of dysphagia in elderly patients.

To search for and summarize the best evidence for themanagement of elderly patients with dysphagia.... Clinical decisions, recommended practices, evidence summaries, clinical practice guidelines, expert consensus, and systematic reviews on the management of dysphagia among elderly patients were systema... A total of 14 literatures were identified, including 2 guidelines, 2 clinical decisions, 5 evidence summaries, 3 expert consensus statements, and 2 systematic reviews. Twenty-four pieces of evidence f... The best evidence-based recommendations for the management of dysphagia in elderly patients is summarized, it is suggested that the best evidence should be selected according to the actual situation o...

Same-Day Discharge for Pediatric Hemithyroidectomy Patients: Evaluating Safety and Barriers to Discharge.

Hemithyroidectomy is often performed in the pediatric population for indeterminate or benign thyroid nodules. Prior studies confirmed the safety of same-day discharge for adults undergoing hemithyroid... Retrospective cohort.... Pediatric tertiary care hospital.... This was a retrospective study of pediatric patients (0-18 years of age) undergoing hemithyroidectomy at a pediatric tertiary care hospital from 2003 to 2022. Perioperative variables and outcomes were... One hundred five pediatric patients who underwent hemithyroidectomy were identified. Ninety (86%) patients were admitted postoperatively, and 15 (14%) were discharged the same day. There were no diffe... In pediatric patients undergoing uncomplicated hemithyroidectomy, same-day discharge appears appropriate for those with shorter surgical times and intraoperative use of hemostatic agents with no readm...

PONV Management in Adult Patients: Evidence-based Summary.

To summarize the evidence on perioperative nausea and vomiting management in adult patients worldwide.... This is a summary of the best evidence on postoperative nausea and vomiting in adults.... Databases such as British Medical Journal Best Practice, Cochrane Library, Joanna Briggs Institute, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Nati... A total of 22 studies, including 1 best practice, 2 clinical decision-making articles, 7 evidence summaries, 1 clinical guideline, 9 systematic reviews, and 2 expert consensuses, were included. The su... The health care team should select the best evidence according to the characteristics of the department and clinical practice, scientifically manage perioperative nausea and vomiting of patients, redu...

Large language models can support generation of standardized discharge summaries - A retrospective study utilizing ChatGPT-4 and electronic health records.

To evaluate whether psychiatric discharge summaries (DS) generated with ChatGPT-4 from electronic health records (EHR) can match the quality of DS written by psychiatric residents.... At a psychiatric primary care hospital, we compared 20 inpatient DS, written by residents, to those written with ChatGPT-4 from pseudonymized residents' notes of the patients' EHRs and a standardized ... Human-written DS were rated significantly higher than AI (mean ratings: human 3.78, AI 3.12, p < 0.05). They surpassed AI significantly in 12/15 questions and 16/20 cases and were favored significantl... Overall, AI-DS did not match the quality of resident-written DS but performed similarly in 20% of cases and were rated as favorable for "low expected correction effort" in 22% of cases. AI-DS lacked m... LLM-written DS show potential as templates for physicians to finalize, potentially saving time in the future....