Quote Of The Year

Quote Of The Year - Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

Thursday, March 09, 2017

There Has Been Some Work To Try And Improve Electronic Discharge Summaries. A Good Thing I Believe.

I noticed this last week:

New guidelines simplify discharge summaries

28 February, 2017
The Australian Commission for Safety and Quality in Health Care has released guidelines showing hospitals what to include on an electronic discharge summary, and how to present it in a clear and succinct format.
The guidelines come in the form of style sheets designed to be incorporated into hospital software.
The templates include the essential components of a discharge summary, such as diagnosis, procedures and medication lists.
More here:
Following up I found this:

National guidelines for on-screen presentation of discharge summaries

February 13, 2017
The National guidelines for on-screen presentation of discharge summaries specify the sequence, layout and format of the core elements of hospital discharge summaries, as displayed in clinical information systems.
The guidelines were developed through extensive research, consultation and iterative testing with more than 70 clinicians.
The guidelines are intended to be adopted by vendors of medical software, and health services which procure and implement systems which generate and present discharge summaries.
Here is the link:
What does seem to be a bit odd is that the document is dated August 2016 – so it seems no one was in a real hurry to get change started.
That said I hope all the work leads to some improvement over time! The formats seemed pretty good to this elderly clinicians eye!

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