Evidence map›Paper›PMID 38982360›Full record

Trial reportBMC health services research2024

Patient-centered discharge summaries to support safety and individual health literacy: a double-blind randomized controlled trial in Austria.

Christine Maria Schwarz, Magdalena Hoffmann, Christian Smolle, Andrea Borenich, Stefan Fürst, Alexandru-Cristian Tuca, Anna Katharina Holl, Markus Gugatschka, Victor Grogger, Lars-Peter Kamolz and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04628728 (Possibilities and Measures to Improve Health Literacy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04628728 completednot on this map

Possibilities and Measures to Improve Health Literacy

TypeobservationalSponsorMedical University of GrazRan2019 to 2021Enrolled982ConditionsHealth Care Utilization, Medication Compliance, Information Seeking BehaviorArmsSurvey based on questionnaire (self-designed)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Christine Maria Schwarz *Research Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0003-0924-2340
Magdalena Hoffmann *Research Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria. magdalena.hoffmann@medunigraz.at.ORCID http://orcid.org/0000-0003-1668-4294
Christian SmolleResearch Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-8060-2826
Andrea BorenichInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-2966-253X
Stefan FürstDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-9053-7546
Alexandru-Cristian TucaResearch Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0003-3683-558X
Anna Katharina HollDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Markus GugatschkaDivision of Phoniatrics, Department of Otorhinolaryngology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-8091-8812
Victor GroggerDepartment for Medical Informatics and Processes, University Hospital of Graz, KAGes, Graz, Austria.
Lars-Peter KamolzResearch Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-5975-876X
Gerald SendlhoferResearch Unit for Safety and Sustainability in Healthcare, c/o, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery , Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-6538-3116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo ensure a safe patient discharge from hospital it is necessary to transfer all relevant information in a discharge summary (DS). The aim of this study was to evaluate a bundle of measures to improve the DS for physicians, nurses and patients.

methodsIn a double-blind, randomized, controlled trial, four different versions of DS (2 original, 2 revised) were tested with physicians, nurses and patients. We used an evaluation sheet (Case report form, CRF) with a 6-point Likert scale (1 = completely agree; 6 = strongly disagree).

resultsIn total, 441 participants (physicians n = 146, nurses n = 140, patients n = 155) were included in the study. Overall, the two revised DS received significant better ratings than the original DS (original 2.8 ± 0.8 vs. revised 2.1 ± 0.9, p < 0.001). Detailed results for the main domains are structured DS (original 1.9 ± 0.9 vs. revised 2.2 ± 1.3, p = 0.015), content (original 2.7 ± 0.9 vs revised 2.0 ± 0.9, p < 0.001) and comprehensibility (original 3.8 ± 1.2vs. revised 2.3 ± 1.2, p < 0.001).

conclusionWith simple measures like avoiding abbreviations and describing indications or therapies with fixed contents, the DS can be significantly improved for physicians, nurses and patients at the same time.

trial registrationFirst registration 13/11/2020 NCT04628728 at www. CLINICALTRIALS: gov , Update 15/03/2023.

Indexed as

Health LiteracyAdultAgedAustriaDouble-Blind MethodFemaleHumansMaleMiddle AgedPatient-Centered CarePatient DischargePatient Discharge SummariesPatient SafetyContentDischarge summaryHealthcare quality improvementHealth literacyPatient-centered carePatient educationPatientsQuality

Identifiers

PMID38982360
PMCPMC11234775

What OpenQuestion holds

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LicenceCC BY
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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.