Earnshaw Charles H, Pedersen Amanda, Evans Jo, Cross Tina, Gaillemin Olivier, Vilches-Moraga Arturo
Salford Royal NHS Foundation Trust, Salford, UK.
Future Healthc J. 2020 Jun;7(2):149-154. doi: 10.7861/fhj.2019-0046.
There is a recognised need to improve the quality of discharge documentation to facilitate the safe and effective ongoing care of patients once they leave hospital. Previous studies have focused on individual interventions, such as teaching or feedback. Our continuous quality improvement project aims to improve the quality of discharge documentation at our hospital by providing a comprehensive overhaul of the education and feedback around discharge documentation.
We designed a comprehensive data analysis tool to analyse the performance of our discharge summaries. We presented at clinical governance sessions and arranged numerous teaching sessions for junior doctors. We developed a live-feedback system based on the content of a sample set of the previous month's summaries, which included poster-based feedback and group teaching.
Our interventions have significantly improved the quality of our discharge documentation across a broad range of categories, including the summary of the stay, actions for general practitioners and information given to patients in lay terminology.
Our comprehensive quality improvement project has improved the quality of our discharge documentation. Further work aims to expand this project into a regional setting, as well as designing a strategy to maintain engagement of key stakeholders to ensure continued progress.
人们已经认识到需要提高出院文件的质量，以便在患者出院后促进对其进行安全有效的持续护理。以往的研究主要集中在个别干预措施上，如教学或反馈。我们的持续质量改进项目旨在通过对出院文件相关的教育和反馈进行全面改革，提高我院出院文件的质量。
我们设计了一个全面的数据分析工具来分析出院小结的质量。我们在临床管理会议上进行了汇报，并为初级医生安排了多次教学课程。我们根据上个月小结样本集的内容开发了一个实时反馈系统，其中包括基于海报的反馈和小组教学。
我们的干预措施显著提高了出院文件在广泛类别中的质量，包括住院总结、给全科医生的建议以及用通俗易懂的语言向患者提供的信息。
我们的全面质量改进项目提高了出院文件的质量。进一步的工作旨在将该项目扩展到区域范围，并制定一项策略以保持关键利益相关者的参与度，确保持续进步。
