2) Discharge Summary
, Ambulance Report, Emergency Department notes and Progress Notes.
Comparing the facts stated in the discharge summary
with the notes made while the patient was receiving treatment, can reveal important information, such as the tinting or cause of a "code blue" (an emergency requiring resuscitation of the patient).
The use of standardised assessment tools and a multidisciplinary discharge summary
was recommended by nurses and allied health professionals.
7 Global Discharge Summary
Medical Transcription Market Size and Forecast, 2011 - 2019 (USD Million) FIG.
A trend towards increasing discharge summary
length has also been demonstrated since the introduction of electronic discharge summaries (Chow & Szeto 2006), whereas shorter summaries have been shown to be of higher quality (van Walraven & Rokosh 1999).
The Committee heard there was no reference to the fragment included in the clinical notes, discharge summary
or referral report, but accepted that the discharge summary
had not been prepared by Mr Saulnier-Troff and that the referral report had been drawn up and sent out without Mr Saulnier-Troff's approval or personal signature.
Why can't we get the discharge summary
to the primary care doc quicker?
When my patients returned, either to my office or to my service in a nursing home, I was completely up to date, and there was no need to read a complex discharge summary
that might contain errors.
No longer would the PCP need to rely on the discharge summary
provided by the hospital, a summary that often arrives after the patient's follow-up appointment has taken place.
For example, a provider might want to send the referring physician a discharge summary
by directly faxing it from the EMR.
When a Cogent patient is discharged from the hospital, the patient's family doctor receives a transcription from the hospitalist called a "transfer of care note," used in conjunction with the hospital discharge summary
and medical record, within 24-48 hours so that the physician is fully informed about the patient's condition and treatment program.
The majority of respondents (58%: 133/227) indicated that they would like to receive the discharge summary
on the day of discharge or the next day.
Using the federal government's National Hospital Discharge Summary
, he flagged procedures performed in the biliary tract from 1979 to 2001, the most recent year for which information was available.
Figure 1 -- Dictation and Transcription Reduction of Costs Department Annual Documents No Longer Annual Admissions Dictated and Transcribed Savings NICU ICN Admissions neonatal 600 Admission notes $35,700 well baby service 1400 Progress notes $23,800 Labor and delivery Discharge summary
5000 Delivery notes $85,000 Total annual savings $144,500 Dictation and transcription Costs: assuming an average cost of $8.
Frequently, the discharge summary
or pathology report may not be in the chart prior to the bill's being mailed.