Authors Form (text type) of Structure (ordering of Summary of the evidence Findings Quality (year), documentation information) of for content of information Appraisal* country documentation Balaban et al. Patient Discharge Electronic transfer of the Patient demographics 14.9% of the patients failed * 200829 USA Form provided to Patient Discharge Form to to follow-up within 21 days Discharge diagnosis patients, in one of nurses at the patient’s 40.8% of the concurrent Names of hospital doctor three languages primary care site and 35.0% of the historical (including residents, general Control patients: controls failed follow-up physician and specialists) Discharge instructions within 21 days Vaccinations given handwritten in English, 11.5% of recommended New allergies communication between work-ups in the intervention discharging physician and Dietary and activity group were incomplete primary care provider on instructions 31.3% of the concurrent an as needed basis. For Home services ordered controls and 31.0% of the patients with multiple historical controls had Scheduled appointments with chronic conditions incomplete recommended primary care provider, between residential aged work-ups specialists, and for diagnostic care facilities and hospital studies Pending medical test results Recommended outpatient work-ups Discharge medications list – Continued medications (with dose changes highlighted), new medications and discontinued medications Nursing comments Reminder to patients to the form to their next appointment
Authors (year), country Form (text type) of documentation Structure (ordering of information) of documentation Summary of the evidence for content of information Findings Quality Appraisal* Balaban et al. 200829 USA Patient Discharge Form provided to patients, in one of three languages Electronic transfer of the Patient Discharge Form to nurses at the patient’s primary care site Control patients: Discharge instructions handwritten in English, communication between discharging physician and primary care provider on an as needed basis. For patients with multiple chronic conditions between residential aged care facilities and hospital Patient demographics Discharge diagnosis Names of hospital doctor (including residents, general physician and specialists) Vaccinations given New allergies Dietary and activity instructions Home services ordered Scheduled appointments with primary care provider, specialists, and for diagnostic studies Pending medical test results Recommended outpatient work-ups Discharge medications list – Continued medications (with dose changes highlighted), new medications and discontinued medications Nursing comments Reminder to patients to the form to their next appointment 14.9% of the patients failed to follow-up within 21 days 40.8% of the concurrent and 35.0% of the historical controls failed follow-up within 21 days 11.5% of recommended work-ups in the intervention group were incomplete 31.3% of the concurrent controls and 31.0% of the historical controls had incomplete recommended work-ups *
Rapid-review-Improving-documentation-at-transitions-of-care-for-complex-patients.docx