Abstract
We developed a writing rubric that assessed the quality of four common errors found in the synopsis of a discharge summary: relevance, accuracy, clarity and presentation (R-A-C-P). We assessed the effect of an intervention that taught the essentials of discharge summary preparation. The intervention reduced the number of inadequate discharge summaries written by medical staff on a busy medical service. Writing the clinical synopsis of a discharge summary is a skill that can be taught quickly.
Original language | English |
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Pages (from-to) | 298-301 |
Number of pages | 4 |
Journal | Internal Medicine Journal |
Volume | 44 |
Issue number | 3 |
DOIs | |
Publication status | Published - Mar 2014 |
Keywords
- Discharge summary
- Documentation
- Education
- Electronic medical record