电子放电总结驾驶建议：当前实践与未来方向。
Electronic discharge summary driving advice: Current practice and future directions.
作者信息
Carmody John, Michael Carey, Traynor Victoria, Iverson Don
机构信息
Neurology Department, Wollongong Hospital, Wollongong ; Illawarra Health and Medical Research Institute (IHMRI), Wollongong.
出版信息
Australas Med J. 2013 Aug 31;6(8):419-24. doi: 10.4066/AMJ.2013.1815. eCollection 2013.
BACKGROUND
Driving is a complex task. Many older drivers are unaware of their obligation to inform authorities of conditions which may impact upon their driving safety.
AIMS
This study sought to establish the adequacy of driving advice in electronic discharge summaries from an Australian stroke unit.
METHOD
One month of in-patient electronic discharge summaries were reviewed. A predetermined list of items was used to assess each electronic discharge summary: age; gender; diagnosis; relevant co-morbidities; deficit at time of discharge; driving advice; length of stay; and discharge destination.
RESULTS
Of 41 participants, the mean age was 72 years. Twenty patients had a discharge diagnosis of stroke, nine of transient ischaemic attack, four of seizure and one of encephalitis. Of these, only eight discharge summaries included driving advice.
CONCLUSION
The documentation of driving advice in electronic discharge summaries is poor. This has important public health, ethical and medico-legal implications. Avenues for future research are explored.
背景
驾驶是一项复杂的任务。许多老年驾驶员并未意识到他们有义务向当局通报可能影响其驾驶安全的状况。
目的
本研究旨在确定澳大利亚一家中风单元的电子出院小结中驾驶建议的充分性。
方法
回顾了一个月的住院电子出院小结。使用一份预先确定的项目清单来评估每份电子出院小结：年龄；性别；诊断；相关合并症；出院时的缺陷；驾驶建议；住院时间；以及出院目的地。
结果
在41名参与者中，平均年龄为72岁。20名患者出院诊断为中风，9名诊断为短暂性脑缺血发作，4名诊断为癫痫，1名诊断为脑炎。其中，只有8份出院小结包含驾驶建议。
结论
电子出院小结中驾驶建议的记录情况不佳。这具有重要的公共卫生、伦理和医疗法律意义。探讨了未来研究的方向。
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