Patient Discharge Clinical Trial
Official title:
Automated Versus Conventional Hospital Discharge Summaries and Prescriptions: A Randomized Controlled Trial
The purpose of this study is to determine whether a semi-automated electronic patient discharge summary program leads to increased community physician and housestaff satisfaction and patient outcomes as compared to conventional discharge reports.
For patients hospitalized with an acute illness, the days following discharge constitute a
critical period. Patients must adjust to changes in their medications, follow up with family
doctors and other specialists and know what symptoms should prompt a return to hospital. The
community physicians who follow them rely on information from their hospitalization to
facilitate this transition, and provide continuity of care.
Communication between hospital and community physicians is essential to this process, and
has traditionally been accomplished by a dictated discharge summary. Previous studies have
shown that while dictated discharge summaries can be inaccurate, incomplete, or untimely,
computer generated summaries are produced more quickly and accurately. Moreover,
database-generated discharge summaries are preferred by physicians in the community.
We have designed a web-based computer program with quality assurance features that
automatically generates timely discharge summaries. We aim to study this program over a 2
month period on our general medicine unit by means of a randomized controlled trial. Our
hypothesis is that community physicians will prefer the computer generated summaries, over
the standard dictated summaries. If effective, our system could be implemented more widely,
and would stand to improve communication with community physicians, continuity of care, and
patient safety.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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