Evidence map›Paper›PMID 35871370›Full record

ArticleThe International journal of risk & safety in medicine2022

Improving the quality of inpatient discharge summaries.

Samit Patel, Isabel Utting, Wan Wei Ang, Tessa Fautz, Rebecca Radmore, Panayiota Vourou, Lara Beaumont, Paula Ryeland, Ashling Lillis

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In one paragraph

Article in The International journal of risk & safety in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Samit PatelWhittington Health NHS Trust, Whittington Hospital, London, UK.
Isabel UttingWhittington Health NHS Trust, Whittington Hospital, London, UK.
Wan Wei AngWhittington Health NHS Trust, Whittington Hospital, London, UK.
Tessa FautzWhittington Health NHS Trust, Whittington Hospital, London, UK.
Rebecca RadmoreWhittington Health NHS Trust, Whittington Hospital, London, UK.
Panayiota VourouWhittington Health NHS Trust, Whittington Hospital, London, UK.
Lara BeaumontWhittington Health NHS Trust, Whittington Hospital, London, UK.
Paula RyelandWhittington Health NHS Trust, Whittington Hospital, London, UK.
Ashling LillisWhittington Health NHS Trust, Whittington Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDischarge summaries (DCS) are vital in facilitating handover to community colleagues. Unfortunately, at Whittington Health, General Practitioners (GPs) found it difficult to identify relevant information in DCS, and use of medical jargon meant patients did not understand details of their admission. With this quality improvement project, the team aimed to improve DCS to enhance patient-centered care.

objectiveThe aim of this quality improvement project (QIP) was to improve the quality of DCS by critiquing the ones produced within our trust and implementing various interventions.

methodsMultiple Plan-Do-Study-Act (PDSA) cycles were completed. A multi-disciplinary meeting was conducted to identify the needs of each party in a DCS. A new template was subsequently launched. Teaching was conducted and educational leaflets were disseminated hospital-wide. Quality of written communication was audited quarterly, and evaluated against quality indicators. Problems with DCS were identified via GP and patient feedback, and these became the focus of subsequent PDSA cycles.

resultsFrom March 2019 to February 2020, all the audited categories improved, with an overall improvement from 67% to 92%. We also received positive feedback from GPs.

conclusionsQuality of DCS can be improved with appropriate interventions, leading to improved patient care. A similar PDSA cycle could be utilized elsewhere to achieve similar results.

Indexed as

Continuity of Patient CareGeneral PractitionersHumansInpatientsPatient DischargeQuality ImprovementauditDischarge summarypatient satisfactionPDSA cyclequality improvement

Identifiers

PMID35871370
PMCPMC9844071

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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.