[The quality of the discharge reports from the internal medicine services of Castilla-La Mancha (a structural evaluation)].

Autor:	Viana Alonso A; Servicio de Medicina Interna, Estudio Multicéntrico Castilla-La Mancha., Herranz CR, Portillo Pérez-Olivares H, Rodríguez Rodríguez A, Hernández Lanchas C, de la Morena Fernández J
Jazyk:	Spanish; Castilian
Zdroj:	Anales de medicina interna (Madrid, Spain : 1984) [An Med Interna] 1994 Jan; Vol. 11 (1), pp. 4-8.
Abstrakt:	Unlabelled: The discharge report is one of the final outputs of the health care activity. We have tried to analyze several aspects related to its quality. For this purpose, we conducted a cross-sectional study analyzing 800 reports of patients admitted in the services of Internal Medicine at 6 hospitals of Castilla-La Mancha during the year 1991. We must stress the absence of discharge reports for death patients and the failure to record drug allergies (69.9%), medical history (10.4%) and time of evolution of the disease (16.9%), as well as treatment in 17 reports out of 781 and follow-up review after discharge in 12.8%. Conclusions: Discharge reports have a low scientific content and the production of this type of records is not a routine practice in the case of death patients.
Databáze:	MEDLINE
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