![]() Hospitals are now required to produce summaries within 24 h. In the United Kingdom (UK), hospitals have been required to use electronic discharge summaries since 2015, and the benefits of such summaries are well established. letter dense with jargon) and general communication gaps leading to adverse events such as patient readmissions. International evidence suggests that discharge letters are unsatisfactory for a number of reasons including: incomplete and insufficient information, unclear follow up plans, letter inaccuracies, delayed letter delivery, inadequate medication information, lack of patient-centredness (e.g. ![]() Two inter-related elements are at play: speed of information transfer and quality of information transferred. Poor discharge communication is an important cause of adverse events in medical defence organisation data and incident reports from primary care. This process inherently involves inter-professional communication which has been previously suggested as an area that requires improvement. Sharing accurate, relevant information about the care received in hospital with primary care in the form of a discharge summary is essential to patient safety. While the study highlighted barriers to producing high quality discharge summaries which may be addressed through training and organisational initiatives, it also indicates a need for ongoing audit to ensure the quality of letters and so reduce patient risk at the point of hospital discharge.ĭischarge from hospital is a high-risk healthcare event risk of harm can originate in the secondary care setting or the primary care setting, This is particularly well evidenced in relation to medications errors following discharge. The failure to uniformly implement national discharge letter guidance into practice is continuing to contribute to unsuccessful communication between hospital and general practice. Hospital clinicians identified several barriers to producing “successful” letters, including: juniors writing letters, time limitations, writing letters retrospectively from patient notes, and template restrictions. Analysis of GP comments highlighted that the overall clarity of discharge letters is important for effective and safe care transitions and that they should be relevant, concise, and comprehensible. Unexplained acronyms and jargon were identified in the majority of the sample (≥70% of letters). There were statistically significant differences between “successful” and “unsuccessful” inpatient letters ( n = 375) in relation to inclusion of the following elements: reason for admission (99.1% vs 86.5%) diagnosis (97.4% vs 74.5%), medication changes (61.5% vs 48.9%) reasons for medication changes (32.1% vs 18.4%) hospital plan/actions (70.5% vs 50.4%) GP plan (69.7% vs 53.2%) information to patient (38.5% vs 24.8%) tests/procedures performed (97.0% vs 74.5%), and test/examination results (96.2% vs 77.3%). ![]() Resultsįifty-three GPs participated in selecting discharge letters 46 clinicians responded to the hospital survey. Free text comments were analysed using corpus linguistics, and survey data were analysed using descriptive statistics. “diagnosis”, “GP plan”) based on relevant guidelines and standards. Letters were examined using content analysis we coded 15 features (e.g. surveying the hospital clinicians who wrote the sampled letters for their views. GPs commenting on the reasons for their letter assessment, and 3. General Practitioners (GPs) sampling discharge summaries they assessed to be “successful” or “unsuccessful” exemplars, 2. Mixed methods study in West Midlands, England with three parts: 1. In the United Kingdom, although discharge summary targets on timeliness have been achieved, the quality of discharge summaries’ content remains variable. I will send a copy of your medical record to your new provider upon receipt of a signed request.Sharing information about hospital care with primary care in the form of a discharge summary is essential to patient safety. We find it hard to deliver the care you need when you are constantly displaying such demeanor. However, you have been rude and disrespectful to me and to my staff. ![]() Between this date and the date of this letter, I will still be able to provide you with emergency care as you require until you can find another practice to provide you with the treatment you need. I regret to inform you that I am discharging you as a patient from my medical practice as of. PATIENT TERMINATION LETTER DUE TO BEHAVIOR It already has ready-made written content that can guide you in the write-up of your letter. Check out our Free Patient Termination Letter Due To Behavior Template to help you get started. Sending a letter is one way to start the process of discharging a patient for their problematic behavior.
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