{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T09:27:41Z","timestamp":1761989261136},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Objective\u2003Succinct and timely discharge summaries (DSs) facilitate ongoing care for patients discharged from acute care settings. Many institutions have introduced electronic DS (eDS) templates to improve quality and timeliness of clinical correspondence. However, significant intrahospital and intraunit variability and application exists. A review of the literature and guidelines revealed 13 key elements that should be included in a best practice DS. This was compared against our pediatric institution's eDS template\u2014housed within an integrated electronic medical record (EMR) and used across most inpatient hospital units.<\/jats:p><jats:p>\n            Methods\u2003Uptake and adherence to the suggested key elements was measured by comparing all DSs for long stay inpatients (&gt; 21-day admission) during the first year of the EMR eDS template's usage (May 2016\u2013April 2017).<\/jats:p><jats:p>\n            Results\u2003A total of 472 DSs were evaluated. Six of 13 key elements were completed in\u2009&gt;\u200998.0% of DSs. Conversely, only\u2009&lt;\u20095.0% included allergies or adverse reaction data, and\u2009&lt;\u200911.0% included ceased medications or pending laboratory results. Inclusion of procedure information and pending laboratory results significantly improved with time (p\u2009=\u20090.05 and p\u2009&lt;\u20090.04, respectively), likely as doctors became more familiar with EMR and autopopulation functions. Inclusion of \u201cdischarge diagnosis\u201d differed significantly between medical (n\u2009=\u2009406\/472; 99.0%) and surgical (n\u2009=\u200932\/472; 51.6%) DSs.<\/jats:p><jats:p>\n            Conclusion\u2003Uptake and adherence to an EMR eDS template designed to meet best practice guidelines in a pediatric institution was strong, although significant improvements in specific data elements are needed. Strategies can include a modification of existing eDS templates and junior medical staff education around best practice.<\/jats:p>","DOI":"10.1055\/s-0038-1669461","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T22:59:06Z","timestamp":1537397946000},"page":"734-742","source":"Crossref","is-referenced-by-count":2,"title":["Integrated Electronic Discharge Summaries\u2014Experience of a Tertiary Pediatric Institution"],"prefix":"10.1055","volume":"09","author":[{"given":"Merav L.","family":"Katz","sequence":"first","affiliation":[{"name":"EMR Project Team, The Royal Children's Hospital Melbourne, Parkville, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"South","sequence":"first","affiliation":[{"name":"EMR Project Team, The Royal Children's Hospital Melbourne, Parkville, Australia"},{"name":"Department of General Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daryl R.","family":"Cheng","sequence":"additional","affiliation":[{"name":"EMR Project Team, The Royal Children's Hospital Melbourne, Parkville, Australia"},{"name":"Department of General Medicine, The Royal Children's Hospital Melbourne, Parkville, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"issue":"12","key":"ref1","first-page":"886","article-title":"Communication at the interface between hospitals and primary care - a general practice audit of hospital discharge summaries","volume":"42","author":"E Belleli","year":"2013","journal-title":"Aust Fam Physician"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1197\/jamia.M1525","article-title":"Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physicians","volume":"11","author":"P J Embi","year":"2004","journal-title":"J Am Med Inform Assoc"},{"issue":"01","key":"ref3","first-page":"7","article-title":"Are general practitioners satisfied with electronic discharge summaries?","volume":"36","author":"M Alderton","year":"2007","journal-title":"Health Inf Manag"},{"issue":"03","key":"ref4","first-page":"345","article-title":"Adverse events among medical patients after discharge from hospital","volume":"170","author":"A J Forster","year":"2004","journal-title":"CMAJ"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"u200548.w2006","DOI":"10.1136\/bmjquality.u200548.w2006","article-title":"Improving the efficiency of discharge summary completion by linking to preexisiting patient information databases","volume":"3","author":"S Chan","year":"2014","journal-title":"BMJ Qual Improv Rep"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"175","DOI":"10.4338\/ACI-2012-02-CR-0003","article-title":"Rapid implementation of inpatient electronic physician documentation at an academic hospital","volume":"3","author":"J S Hahn","year":"2012","journal-title":"Appl Clin Inform"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1002\/jhm.118","article-title":"Outpatient physicians' satisfaction with discharge summaries and perceived need for an electronic discharge summary","volume":"1","author":"K J O'Leary","year":"2006","journal-title":"J Hosp Med"},{"issue":"08","key":"ref9","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/jama.297.8.831","article-title":"Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care","volume":"297","author":"S Kripalani","year":"2007","journal-title":"JAMA"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1046\/j.1440-1762.2001.00430.x","article-title":"General practitioner-hospital communications: a review of discharge summaries","volume":"21","author":"S Wilson","year":"2001","journal-title":"J Qual Clin Pract"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ijmedinf.2005.07.018","article-title":"et al. 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