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[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).
Viana Alonso, A; Herranz, C R; Portillo Pérez-Olivares, H; Rodríguez Rodríguez, A; Hernández Lanchas, C; de la Morena Fernández, J.
Afiliación
  • Viana Alonso A; Servicio de Medicina Interna, Estudio Multicéntrico Castilla-La Mancha.
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
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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