ArticleCureus2025
Enhancing Patient Safety Through Improved Discharge Documentation: A Quality Improvement Audit at Hasahesa Teaching Hospital, Sudan.
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.
The trial behind it
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Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective discharge documentation is essential for ensuring continuity of care and patient safety. In many resource-limited hospitals, discharge summaries are often incomplete, leading to communication gaps, preventable errors, and avoidable readmissions. This audit evaluated the impact of introducing a standardized discharge card on the quality of discharge documentation at Hasahesa Teaching Hospital, Sudan.
methodsA two-cycle clinical audit was conducted in the Internal Medicine Department. The baseline review (Cycle 1) assessed 50 discharge cards retrospectively over a two-week period (20 March to 2 April 2025) using a structured checklist adapted from international standards. Following this, a one-month intervention was implemented, introducing a newly designed discharge card supported by staff training and visual aids. The re-audit (Cycle 2) reviewed 50 discharge cards over three months (3 May-2 August 2025). Compliance across multiple documentation domains was compared using the chi-square test.
resultsDocumentation improved significantly across all domains after the intervention. Recording of demographic details, clinical information, treatments, discharge diagnosis, and follow-up instructions rose from baseline levels of 22-56% to post-intervention levels of 94-100%, representing absolute improvements of 38-72 percentage points (95% CIs provided in the full text). All improvements were statistically significant (p < 0.001). Staff feedback indicated that the standardized card was clear, practical, and enhanced workflow.
conclusionThe standardized discharge card markedly improved the quality and completeness of discharge documentation, providing a simple, low-cost, and effective intervention to strengthen patient safety and continuity of care in a resource-limited setting. Wider implementation and longer-term evaluation are recommended to ensure sustainability and scalability.
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