158 AN AUDIT ON DISCHARGE SUMMARIES IN A MEDICAL GERONTOLOGICAL WARD

نویسندگان

چکیده

Abstract Background Discharge summaries are an integral part of communication within healthcare to ensure safe care across settings. Alterations documented and relayed between relevant professionals. This audit evaluates quality discharge from a medical gerontology ward against the National Standard for Patient Summary Information (HIQA) Methods A retrospective was carried out with data collected registry over 3-months (February-April 2022) associated summaries. Results total 31 discharges (including death) were identified during set period, 97% (n=30) which had completed Upon assessment standard, 100% included details vital patient identification including name, date birth, gender address. In addition,100% information on admission-discharge, clinical course, investigations, treatments, procedures, medications doctor completing summary. The that 20% (n=6) stated referral source, is mandatory according standard. 13% (n=4) dietary interventions 0% immunization (whether as inpatient or prior). Regarding further management, 77% (n=23) guidance follow-up hospital care, 27% (n=8) about social actions, advice, recommendations future plans in 10% be given carer. Conclusion Compliance details, admission/discharge date, diagnoses, author fully met However, there poor compliance continuation community. particularly older patients multiple co-morbidities complex needs. Doctors working this receiving education regarding importance documentation functional status, needs diet at discharge. future, electronic may improve continuity

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ژورنال

عنوان ژورنال: Age and Ageing

سال: 2022

ISSN: ['1468-2834', '0002-0729']

DOI: https://doi.org/10.1093/ageing/afac218.134