Hospital Variation in Quality of Discharge Summaries for Patients Hospitalized With Heart Failure Exacerbation
| Autor: | Leora I. Horwitz, Natdanai Punnanithinont, Kristina Dzara, Harlan M. Krumholz, Beth Hodshon, Mohammed Salim Al-Damluji, Sarwat I. Chaudhry |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Time Factors Patient Discharge Summaries Exacerbation Adverse outcomes Discharged alive Article Epidemiology medicine Humans Healthcare Disparities Intensive care medicine Discharge summary Quality Indicators Health Care Heart Failure Information Dissemination business.industry Consensus conference Continuity of Patient Care medicine.disease Hospitals Patient Discharge Telemedicine United States Hospitalization Heart failure Disease Progression Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 8:77-86 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.114.001227 |
| Popis: | Background— Single-site studies have demonstrated inadequate quality of discharge summaries in timeliness, transmission, and content, potentially contributing to adverse outcomes. However, degree of hospital-level variation in discharge summary quality for patients hospitalized with heart failure (HF) is uncertain. Methods and Results— We analyzed discharge summaries of patients enrolled in the Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) study. We assessed hospital-level performance on timeliness (fraction of summaries completed on the day of discharge), documented transmission to the follow-up physician, and content (presence of components suggested by the Transitions of Care Consensus Conference). We obtained 1501 discharge summaries from 1640 (91.5%) patients discharged alive from 46 hospitals. Among hospitals contributing ≥10 summaries, the median hospital dictated 69.2% of discharge summaries on the day of discharge (range, 0.0%–98.0%; P P P Conclusions— Even at the highest performing hospital, discharge summary quality is insufficient in terms of timeliness, transmission, and content. Improvements in all aspects of discharge summary quality are necessary to enable the discharge summary to serve as an effective transitional care tool. |
| Databáze: | OpenAIRE |
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