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Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Medicine Residents

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Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Medicine Residents Emily A. Mallin, MD Cheryl W. O’Malley, MD, FACP
The Discharge Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Current Discharge Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.jointcommission.org/NR/rdonlyres/B48B39E3-107D-495A-9032-24C3EBD96176/0/PDF32009HAPSupportingStds.pdf. Standard RC 02.04.01, EP 3, page 37. Accessed 10/6/10.
Other Discharge Summary Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges of the Discharge Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Timeliness ,[object Object],[object Object],van Walraven C et al. Effect of discharge summary availability during post-discharge visits on hospital readmission. JGIM 2002;17:186-192.
Timeliness and Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kriplani S et al. Deficits in communication and information transfer between hospital-based and primary care physicians. JAMA 2007;297:831-841.
Quality ,[object Object],Myers, JS. Are Discharge Summaries Teachable? The Effects of a Discharge Summary Curriculum on the Quality of Discharge Summaries in an Internal Medicine Residency Program. Academic Medicine 2006;81:10. pp S5-S8.
 
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Methods
STAT Discharge Process ,[object Object],[object Object],[object Object]
Educational Intervention for Internal Medicine Residents ,[object Object],[object Object],[object Object],[object Object],[object Object]
Timeliness Results Mallin E, O’Malley C, Gerkin R. Improving timeliness without compromising quality: Discharge summaries dictated by Internal Medicine residents. J Hosp Med. 2010;5(3)(suppl 2):S49.
Quality Results ,[object Object],[object Object],[object Object],[object Object]
Quality Improvement ,[object Object],[object Object],[object Object],[object Object]
Educational Intervention for Internal Medicine Residents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation of Discharge Summaries ,[object Object],[object Object],[object Object],[object Object]
Preliminary Results ,[object Object],[object Object],[object Object],[object Object],Pre-intervention Mean Post-intervention Mean P value Completeness score 0.70 0.78 0.342 Total readability score 30.3 34.6 0.172
Limitations and Future Directions ,[object Object],[object Object],[object Object],[object Object]
 
Additional References ,[object Object],[object Object],[object Object]

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Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Medicine Residents

  • 1. Improving Timeliness and Quality: Discharge Summaries Dictated by Internal Medicine Residents Emily A. Mallin, MD Cheryl W. O’Malley, MD, FACP
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  • 14. Timeliness Results Mallin E, O’Malley C, Gerkin R. Improving timeliness without compromising quality: Discharge summaries dictated by Internal Medicine residents. J Hosp Med. 2010;5(3)(suppl 2):S49.
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Notes de l'éditeur

  1. We wanted to address some of these problems with discharge summaries and used a system process as a starting point.