Oliver Kleinig, Lewis Hains, Ashwin Murugappa, Samuel Gluck, Jarrod Marks, Toby Gilbert, Stephen Bacchi
{"title":"Time for a rethink? Discharge summary completion is often delayed and associated with increased readmission","authors":"Oliver Kleinig, Lewis Hains, Ashwin Murugappa, Samuel Gluck, Jarrod Marks, Toby Gilbert, Stephen Bacchi","doi":"10.1111/imj.70150","DOIUrl":null,"url":null,"abstract":"<p>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 <i>medical</i> discharge summary release, the chance of hospital 30-day readmission increased by 1.60% (<i>P</i> < 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.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":"55 9","pages":"1575-1577"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imj.70150","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internal Medicine Journal","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/imj.70150","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
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.
期刊介绍:
The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.