Evidence map›Paper›PMID 41927143›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2026

General practice follow-up after hospital discharge in older adults: retrospective record analysis in UK primary care.

Naomi Klepacz, Annabelle Long, Zakia Shariff, Simon Ef Spencer, Hema Mistry, Frances Griffiths, Jeremy Dale, Rachel A Spencer

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Naomi KlepaczWarwick Applied Health, University of Warwick, Coventry, UK n.klepacz@exeter.ac.uk.ORCID 0000-0001-7552-8000
Annabelle LongWarwick Applied Health, University of Warwick, Coventry, UK.ORCID 0000-0003-2220-6774
Zakia ShariffWarwick Applied Health, University of Warwick, Coventry, UK.ORCID 0000-0003-4521-0864
Simon Ef SpencerDepartment of Statistics, University of Warwick, Coventry, UK.ORCID 0000-0002-8375-5542
Hema MistryWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0002-5023-1160
Frances GriffithsWarwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0002-4173-1438
Jeremy DaleWarwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0001-9256-3553
Rachel A SpencerWarwick Applied Health, University of Warwick, Coventry, UK.ORCID 0000-0003-2578-6954

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost hospital admissions are for older patients, who are more likely to be medically complex. Primary care risks after hospital discharge and readmission trajectories are relatively unexplored.

aimTo estimate the frequency and nature of errors and harms linked to discharge summary processing in general practice for patients aged ≥65 years; and to explore associations with readmission and healthcare utilisation, using a novel primary care data source. DESIGN AND

settingRetrospective cohort study using electronic health records (EHRs) from seven purposively sampled general practices in the West Midlands, UK.

methodEHRs of patients aged ≥65 years discharged between October 2022 and October 2023 were reviewed. Outcomes included post-discharge healthcare utilisation and costs, frequency and type of discharge actions, error rates (failures to complete requested actions), harms (severity, attribution, and preventability), and 90-day readmissions. Multivariable logistic regression identified predictors of errors, harms, and readmission.

resultsWithin the cohort of 263 discharged patients, 186 (70.7%) accessed post-discharge care; with 47 out of the 263 patients (17.5%; 95% confidence interval = 13.7 to 23.0) having related readmissions within 90 days. In total, 551 actions were requested in 160 discharge summaries. For those patients who required an action, 20.6% experienced error and 4.4% experienced harm. Most harms resulted in hospital readmission and three out of eight were preventable in primary care. Error and harm disproportionately affected patients who had dementia or a recorded carer.

conclusionGeneral practice should review their processes for responding to patient discharge information in order to improve patient safety post-discharge. Further research into tools to assist practices with transitions is warranted.

Indexed as

General PracticeMedical ErrorsPatient DischargePatient ReadmissionPrimary Health CareAgedAged, 80 and overElectronic Health RecordsFemaleHumansMaleRetrospective StudiesUnited Kingdomcare utilisationerrorgeneral practiceharmpatient dischargepatient readmission

Identifiers

PMID41927143
PMCPMC13659063

What OpenQuestion holds

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Registered trials

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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.