[The quality of the discharge reports from the internal medicine services of Castilla-La Mancha (a structural evaluation)]. / Calidad de los informes de alta de los Servicios de Medicina Interna de Castilla-La Mancha (valoración de la estructura).
An Med Interna
; 11(1): 4-8, 1994 Jan.
Article
en Es
| MEDLINE
| ID: mdl-8025192
UNLABELLED: The discharge report is one of the final outputs of the health care activity. We have tried to analyze several aspects related to its quality. For this purpose, we conducted a cross-sectional study analyzing 800 reports of patients admitted in the services of Internal Medicine at 6 hospitals of Castilla-La Mancha during the year 1991. We must stress the absence of discharge reports for death patients and the failure to record drug allergies (69.9%), medical history (10.4%) and time of evolution of the disease (16.9%), as well as treatment in 17 reports out of 781 and follow-up review after discharge in 12.8%. CONCLUSIONS: Discharge reports have a low scientific content and the production of this type of records is not a routine practice in the case of death patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Alta del Paciente
/
Registros de Hospitales
/
Medicina Interna
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
/
Observational_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Es
Revista:
An Med Interna
Asunto de la revista:
MEDICINA INTERNA
Año:
1994
Tipo del documento:
Article
Pais de publicación:
España