Evidence map›Paper›PMID 12046369›Full record

ArticleCanadian family physician Medecin de famille canadien2002

Dissemination of discharge summaries. Not reaching follow-up physicians.

Carl van Walraven, Ratika Seth, Andreas Laupacis

2 registry-linked trialsAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00101868 nacompletednot on this mapstarted 2004, after this paper: background citation

Value of Technology to Transfer Discharge Information

TypeinterventionalSponsorAgency for Healthcare Research and Quality (AHRQ)Ran2004 to 2007Enrolled631ConditionsInformation Dissemination, Interprofessional RelationsArmsDischarge communication software, Usual care discharge process
NCT01402609 nacompletednot on this mapstarted 2011, after this paper: background citation

A Randomized Controlled Trial Assessing the Efficacy of an Electronic Discharge Communication Tool for Preventing Death or Hospital Readmission

TypeinterventionalSponsorWard of the 21st CenturyRan2011 to 2016Enrolled1,399ConditionsOther Diagnoses, Comorbidities, and ComplicationsArmselectronic discharge communication tool, Usual care
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Observational
  11. The use of personalised patient information leaflets to improve patients' perceived understanding following open fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
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  17. Improving Continuity of Care via the Discharge Summary.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015
    Article
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  20. Development of an electronic medical record based intervention to improve medical care of osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Carl van Walravencarlv@ohri.ca
Ratika Seth
Andreas Laupacis

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo discover how often hospital discharge summaries were available to physicians seeing patients for follow-up visits after hospitalization.

designCohort study.

settingTeaching hospital in Ottawa, Ont.

participantsWe studied 792 patients discharged from an internal medicine service after treatment for acute illness. We determined when and by which physician each patient was seen during the first 6 months after discharge. We also determined the date each patient's discharge summary was printed and the physicians to whom it was sent. We confirmed that summaries were received by means of a survey or by telephoning physicians' offices. Patients were observed for 6 months or until they were readmitted to hospital.

main outcome measuresProportion of follow-up visits to physicians for which discharge summaries were available.

resultsDuring the observation period, patients made 6619 visits (median six per patient, interquartile range [IQR] 2 to 9) to 914 different physicians (median three per patient, IQR 2 to 4). Discharge summaries were available for only 996 (15%) visits. Summaries were available for only 65 initial visits (8.2%); no summaries were available for any visit for 542 (68.4%) patients. Summaries were most commonly unavailable because they were not generated in time for follow-up visits (20.0%) or were not sent to follow-up physicians (50.8%).

conclusionAt our institution, discharge summaries often did not get to physicians seeing patients after discharge from hospital.

Indexed as

Family PracticeHospitalistsInterprofessional RelationsMedical RecordsPatient DischargeAgedCohort StudiesContinuity of Patient CareFemaleHospitals, TeachingHumansMaleOntarioStatistics, Nonparametric

Identifiers

PMID12046369
PMCPMC2214034

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.