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带有推荐文本框的显著出院小结能否提高患者安全性?一项全国性调查。

Do marked discharge summaries with recommendation text boxes enhance patient safety? A nationwide survey.

作者信息

Mikkelsen Thorbjørn H, Nielsen Jesper B, Storsveen Maria M, Søndergaard Jens

机构信息

Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark

Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.

出版信息

BJGP Open. 2025 Apr 24;9(1). doi: 10.3399/BJGPO.2024.0037. Print 2025 Apr.

Abstract

BACKGROUND

Danish hospital physicians are required to mark their discharge summaries addressing whether the patient's GP is recommended to follow-up the patient, as well as suggesting follow-up actions.

AIM

To investigate whether a new form of discharge summaries may contribute to improving perceived patient safety following transition from hospitals to general practice.

DESIGN & SETTING: A questionnaire sent to a representative sample of GPs in Denmark.

METHOD

A questionnaire was prepared for GPs based on background material, focus group interviews, and discussions with relevant professionals. It was subsequently pilot tested by fellow researchers and GPs, and revised before the presently reported survey.

RESULTS

Of 310 participating GPs, 197 (63%) 'totally agree' or 'partly agree' that the marked discharge summaries (MDS) with a recommendation text box contribute to a better handover to general practice, and 223 (72%) 'totally agree' or 'partly agree' that they improve patient safety.

CONCLUSION

The majority of responding GPs believe that the MDS with a recommendation text box enhance patient safety and facilitate the transition of care to general practice following hospital discharge.

摘要

背景

丹麦医院医生被要求在出院小结中注明是否建议患者的全科医生对患者进行随访,并提出随访措施。

目的

调查一种新形式的出院小结是否有助于提高患者从医院转至全科医疗后的患者安全感知。

设计与背景

向丹麦全科医生的代表性样本发放问卷。

方法

根据背景资料、焦点小组访谈以及与相关专业人员的讨论,为全科医生准备了一份问卷。随后由研究人员和全科医生进行预测试,并在本次报告的调查之前进行了修订。

结果

在310名参与调查的全科医生中,197名(63%)“完全同意”或“部分同意”带有推荐文本框的标记出院小结(MDS)有助于更好地向全科医疗交接,223名(72%)“完全同意”或“部分同意”它们能提高患者安全。

结论

大多数回复的全科医生认为,带有推荐文本框的MDS可提高患者安全,并便于出院后将护理转至全科医疗。

相似文献

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Improving transmission rates of electronic discharge summaries to GPs.提高电子出院小结向全科医生的传输率。
BMJ Qual Improv Rep. 2013 Sep 17;2(1). doi: 10.1136/bmjquality.u756.w1013. eCollection 2013.

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