Effective acute care handover to GP: optimising the structure to improve discharge documentation

Effective acute care handover to GP: optimising the structure to improve discharge documentation

Abstract

Time and resource constraints have often led to the use of assessment records as discharge communications from acute and emergency departments. However, whether this addresses the primary care needs has not been demonstrated. This study examined the optimal structure that can impart key discharge information effectively using feedback from general practitioners (GP). We implemented an electronic assessment template that focused on the most relevant headings. Prespecified process measures were examined and qualitative thematic analysis of free-text comments from GP surveys were conducted to optimise the document. Our findings suggest that the structure of a discharge summary can influence the quality of information, users’ compliance and readers’ perceptions of the length of the letter.

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Effective acute care handover to GP: optimising the structure to improve discharge documentation

7th July 2018
PMID: 29882556
Authors Affiliations
WH Lee
KA Lockman
A Veiraiah MBBS, MRCP Consultant Physician, Acute Medical Unit, Royal Infirmary of Edinburgh
S Dummer MBchB, MRCP Consultant Physician, Acute Medical Unit, Royal Infirmary of Edinburgh
C Bickler
WL Teoh MBchB, FRCP Consultant Physician, Acute Medical Unit, Royal Infirmary of Edinburgh
R Sinha MBBS, MRCP Clinical Research Fellow, Liver Unit, Royal Infirmary of Edinburgh

Effective acute care handover to GP: optimising the structure to improve discharge documentation

Cite this article as:

Lockman KA, Lee WH, Sinha R, Teoh WL, Bickler C, Dummer S, Veiraiah A. Effective acute care handover to GP: optimising the structure to improve discharge documentation. Acute Med. 2018;17(2):68-76. PMID: 29882556.

Effective acute care handover to GP: optimising the structure to improve discharge documentation

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