是时候重新思考了？出院小结的完成常常延迟，且与再入院率增加相关。
Time for a rethink? Discharge summary completion is often delayed and associated with increased readmission.
作者信息
Kleinig Oliver, Hains Lewis, Murugappa Ashwin, Gluck Samuel, Marks Jarrod, Gilbert Toby, Bacchi Stephen
机构信息
Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Division of Medicine, Lyell McEwin Hospital, Adelaide, South Australia, Australia.
出版信息
Intern Med J. 2025 Sep;55(9):1575-1577. doi: 10.1111/imj.70150. Epub 2025 Jul 31.
Abstract
A retrospective review of 7185 South Australian discharge summaries revealed that 37.6% of discharge summaries were released at least a day after discharge, and per day of delay of medical discharge summary release, the chance of hospital 30-day readmission increased by 1.60% (P < 0.001). Delays may be associated with the task being time-consuming. The workforce impact of junior doctor time and increased readmission rates favours interventions to change discharge summary workflows.
摘要
对7185份南澳大利亚州出院小结的回顾性研究显示，37.6%的出院小结在出院至少一天后才发布，并且医疗出院小结发布每延迟一天，患者30天内再次入院的几率就增加1.60%（P<0.001）。延迟可能与这项任务耗时有关。初级医生时间的劳动力影响以及再入院率的增加有利于采取干预措施来改变出院小结的工作流程。
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