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Page 40
Volume 08
June 28-29, 2019 | Oslo, Norway
Joint Event
Journal of Medical and Health Sciences | ISSN : 2319-
Breast Pathology and Cancer, Gynecology and Obstetrics Pathology, Palliativecare and Gerontology 2019
Breast Pathology & Cancer
Palliativecare & Gerontology
Gynecology and Obstetrics Pathology
Quality of discharge summaries for geriatric patients
Background:
Elderly patients typically have multiple admissions due to their
multiple comorbidities and complex health issues. They tend to require multi-
professional care both in hospital and in the community setting. It is therefore,
important to ensure the communication of pertinent information for quality
follow-up care in the community. Conventional discharge summaries lack geriatric
specific information.
Aim:
The aim of this audit is to look at the quality of discharge letters for geriatric
patients in Withybush General Hospital.
Standard:
D-SAFE (discharge summary adapted for frail and elderly) Model
evolved in Quebec, Canada. PRSB (Professional Records Standards Body) – July
2018, UK
Method:
We used a proforma to record the data from the electronic discharge
summaries used in our hospital. A sample of 20 patients’ discharge summary was
used; 10 were from ward 10 and 10 from ward 12. It was a retrospective study
looking at discharge letters from August to December 2018.
Results:
The first audit revealed that the conventional components of the discharge
summaries were duly completed. The geriatric components on the other hand
were rarely mentioned. These data were presented in the geriatric meeting and we
decided to implement prompt cards. We later re-audited and the results showed
a considerable increase in the geriatric elements being relayed into the discharge
summaries.
Conclusion:
The usage of prompt cards along with education has enabled an
improvement in the quality of discharge summaries. The action plan is to provide
prompt cards in induction pack, and continue education regarding discharge
letters
.
Biography
Sushrut Oomman graduated from University of Pecs Medical School, Hungary. He is currently
working as a Clinical Fellow in Internal Medicine in Hywel Dda NHS University Health Board in
Haverfordwest, Wales. While working in the Geriatric ward he audited the quality of discharge
summaries in his Hospital, specifically for geriatric patients.
sushrut.oomman@gmail.comSushrut Oomman, RRJMHS 2019, Volume 08
Sushrut Oomman
Withybush General Hospital, UK