دورية أكاديمية
Challenges of implementing a standardized process for discharge summaries (5 years experience).
| العنوان: | Challenges of implementing a standardized process for discharge summaries (5 years experience). |
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| المؤلفون: | Almidani E; Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Qudair A; Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Khadawardi E; Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Alshareef T; Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Shoura S; Alfaisal University, Riyadh, Saudi Arabia., Alobari R; Quality Management Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Alhajjar S; Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia., Almofada S; Medical and Clinical Affairs, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia. |
| المصدر: | International journal of pediatrics & adolescent medicine [Int J Pediatr Adolesc Med] 2017 Sep; Vol. 4 (3), pp. 115-118. Date of Electronic Publication: 2017 Nov 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Production and hosting by Elsevier B.V Country of Publication: Netherlands NLM ID: 101670718 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2352-6467 (Print) Linking ISSN: 23526467 NLM ISO Abbreviation: Int J Pediatr Adolesc Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam] : Production and hosting by Elsevier B.V., [2014]-[2022] |
| مستخلص: | Introduction: Discharge summaries are essential documents to provide a long-lasting record of a patient's visit to a hospital. It provides an effective method of communication between various hospital services and primary care providers.We conducted a study recently in KFSH&RC recommending that every admitted patient to the Pediatric Department must have a discharge summary initiated as soon as possible within the first five days of hospitalization and to be updated periodically until its completion on the patient's discharge day. Results of this study showed that most of the patients received their discharge summaries within the time limit as recommended by the JCIA standard. Objectives: The aim of this paper is to present our department's experience in regard to the difficulties, challenges, and outcomes of the adopted work flow for discharge summaries over a period of five years. Methods: The residents have been instructed to initiate the discharge summaries as soon as possible within the first five days of hospitalization for every patient admitted under the Department of Pediatrics regardless of the expected discharge date. Afterward, it will be the responsibility of the attending junior and senior residents to update the summaries on regular basis as long as the patient under their care. They should transfer the updated summary to the coming resident that will take over the medical care until the discharge day when the most recent update will be forwarded to the attending consultant for final review and signature. Results: Between 2011 and 2016, a significant drop in the number of delinquent records was noted. From 1131 delinquent records at the end of the fourth quarter of 2011, the number has fallen to 15 in the fourth quarter of 2016. Furthermore, compliance to JCIA documentation standards showed sustained improvement since the initiation of the project. The department used to score around 50% in the discharge documentation compliance rate which has improved to be maintained around 80%s in average. Conclusions: Every new project concerning the quality of patient care provided in any institution is expected to face multiple challenges and difficulties. Proper identifications of the challenges, standardize approach for solutions, sustainability of quality monitoring for an improvement projects can maintain the success for any new project. |
| References: | J Gen Intern Med. 2002 Mar;17(3):186-92. (PMID: 11929504) Ann Intern Med. 2003 Feb 4;138(3):161-7. (PMID: 12558354) CMAJ. 2004 Feb 3;170(3):345-9. (PMID: 14757670) Ann Intern Med. 2004 Oct 5;141(7):533-6. (PMID: 15466770) Ann Intern Med. 2005 Jul 19;143(2):121-8. (PMID: 16027454) JAMA. 2007 Feb 28;297(8):831-41. (PMID: 17327525) Emerg Med Australas. 2007 Aug;19(4):346-52. (PMID: 17655638) J Hosp Med. 2007 Sep;2(5):314-23. (PMID: 17935242) J Gen Intern Med. 2008 Aug;23(8):1228-33. (PMID: 18452048) J Gen Intern Med. 2011 Jan;26(1):28-32. (PMID: 20697967) J Gen Intern Med. 2012 Jan;27(1):78-84. (PMID: 21901489) J Eval Clin Pract. 2013 Feb;19(1):76-9. (PMID: 21999337) J Accid Emerg Med. 1996 Nov;13(6):406-8. (PMID: 8947800) |
| تواريخ الأحداث: | Date Created: 20190227 Latest Revision: 20220331 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC6372491 |
| DOI: | 10.1016/j.ijpam.2017.06.001 |
| PMID: | 30805513 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2352-6467 |
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| DOI: | 10.1016/j.ijpam.2017.06.001 |