Trial reportJournal of general internal medicine2009
Electronic versus dictated hospital discharge summaries: a randomized controlled trial.
Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00670865 (Automated Versus Conventional Hospital Discharge Summaries and Prescriptions), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled 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.
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.
Automated Versus Conventional Hospital Discharge Summaries and Prescriptions: A Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019Pooled it
- Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials.JAMA internal medicine · 2014Pooled it
- Hospital variation in quality of discharge summaries for patients hospitalized with heart failure exacerbation.Circulation. Cardiovascular quality and outcomes · 2015Trial
- Trial
- After-visit and discharge summaries: a scoping review of stakeholder perspectives and experiences.BMC health services research · 2025Article
- Striking the right balance between accountability and quality improvement: a discharge summary timeliness tale.BMJ open quality · 2025Article
- Comparison of the Quality of Discharge Letters Written by Large Language Models and Junior Clinicians: Single-Blinded Study.Journal of medical Internet research · 2024Article
- Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis of a national incident-reporting database.Palliative medicine · 2019Article
- Elderly at risk in care transitions When discharge summaries are poorly transferred and used -a descriptive study.BMC health services research · 2018Article
- Assessing the impact of the introduction of an electronic hospital discharge system on the completeness and timeliness of discharge communication: a before and after study.BMC health services research · 2017Article
- Improving communication of medication changes using a pharmacist-prepared discharge medication management summary.International journal of clinical pharmacy · 2017Article
- Novel combined patient instruction and discharge summary tool improves timeliness of documentation and outpatient provider satisfaction.SAGE open medicine · 2017Article
- Design and Hospitalwide Implementation of a Standardized Discharge Summary in an Electronic Health Record.Joint Commission journal on quality and patient safety · 2016Article
- Design of an orthopaedic-specific discharge summary.BMC health services research · 2016Article
- Harms from discharge to primary care: mixed methods analysis of incident reports.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Review
- Quality of care of hospitalized internal medicine patients bedspaced to non-internal medicine inpatient units.PloS one · 2014Article
- Comprehensive quality of discharge summaries at an academic medical center.Journal of hospital medicine · 2013Article
- Improving transmission rates of electronic discharge summaries to GPs.BMJ quality improvement reports · 2013Article
- Primary medication non-adherence after discharge from a general internal medicine service.PloS one · 2013Article
- Quality measures for medication continuity in long-term care facilities, using a structured panel process.Drugs & aging · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient care transitions are periods of enhanced risk. Discharge summaries have been used to communicate essential information between hospital-based physicians and primary care physicians (PCPs), and may reduce rates of adverse events after discharge.
objectiveTo assess PCP satisfaction with an electronic discharge summary (EDS) program as compared to conventional dictated discharge summaries.
designCluster randomized trial.
participantsFour medical teams of an academic general medical service. MEASUREMENTS: The primary endpoint was overall discharge summary quality, as assessed by PCPs using a 100-point visual analogue scale. Other endpoints included housestaff satisfaction (using a 100-point scale), adverse outcomes after discharge (combined endpoint of emergency department visits, readmission, and death), and patient understanding of discharge details as measured by the Care Transition Model (CTM-3) score (ranging from 0 to 100).
results209 patient discharges were included over a 2-month period encompassing 1 housestaff rotation. Surveys were sent out for 188 of these patient discharges, and 119 were returned (63% response rate). No difference in PCP-reported overall quality was observed between the 2 methods (86.4 for EDS vs. 84.3 for dictation; P = 0.53). Housestaff found the EDS significantly easier to use than conventional dictation (86.5 for EDS vs. 49.2 for dictation; P = 0.03), but there was no difference in overall housestaff satisfaction. There was no difference between discharge methods for the combined endpoint for adverse outcomes (22 for EDS [21%] vs. 21 for dictation [20%]; P = 0.89), or for patient understanding of discharge details (CTM-3 score 80.3 for EDS vs. 81.3 for dictation; P = 0.81)
conclusionAn EDS program can be used by housestaff to more easily create hospital discharge summaries, and there was no difference in PCP satisfaction.
Indexed as
Identifiers
What OpenQuestion holds
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.