ArticleCureus2025
Implementation of a New Discharge Card in the Department of Internal Medicine at Almanagil Teaching Hospital: A Quality Improvement Project.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
20 authors.
Funding
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Abstract
backgroundInadequate discharge documentation in the Internal Medicine Department of Almanagil Teaching Hospital threatened patient safety, contributing to medication errors and disrupted care. This project implemented a standardized discharge card to address major deficiencies identified by initial audits.
methodsUsing a pre-/post-intervention design (July 1 to August 1, 2025), an initial audit of 50 records allowed for the joint creation of a structured discharge card. Staff training came before the implementation period, followed by a later audit of 50 records to evaluate completeness against 52 varied parameters. Statistical significance (p<0.05) was calculated using chi-square analysis.
resultsThe post-intervention period showed considerable improvement: patient identifier compliance approached complete adherence (contact details: 0% to 98%-100%), clinical documentation improved significantly (allergy status: 0% to 100%; discharge medications: 42% to 98%), and follow-up planning notably improved (follow-up date: 10% to 90%). Over 85% of parameters showed statistically significant improvements, with 32 of 52 key fields reaching compliance rates of 98% and higher.
conclusionImplementing standardized discharge documentation and focused staff training significantly enhanced record completeness in this resource-limited environment. While ongoing issues with complex patient histories and discharge procedures require further attention, this model provides a reproducible solution for improving care transitions in similar healthcare settings, particularly in low- and middle-income countries where standardized discharge processes are less established.
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