1. Discharge Handoff Case #3

* 1. Please provide your email address:

Discharge Handoff Curriculum: Case #3

Scenario: Pretend again for a moment that you are a busy primary care provider. You have 20 minutes scheduled to see each patient. You are about to enter a room and you see the RN lists "hospital follow-up vist" as this patient's chief complaint. Luckily, you go to the patient's chart and are able to find a completed discharge summary (I say you are lucky because the national average is <35% for PCP's having a D/C summary available at the first follow-up appointment). In order to actually spend some time with your patient... you only are allowed 3 minutes to read the following summary and decide what items you will need to address during your visit.

This was written using the EMR and used a template to help organize the summary. The author also used the EMR to auto-insert various test results and medications. Please read the summary and answer the following questions:
Reference articles: Tying up Loose Ends (Moore et al, 2007): click here.

* 2. Please list 2 strengths and 2 weaknesses/deficiencies you observed in this discharge summary:

* 3. Overall, how would you rate the quality of this discharge summary? Do you think this summary would be helpful or harmful?

  Likely to help provide safe care Possibily helpful Neutral Possibily harmful Likely to cause patient harm
Rate the D/C summary quality:

* 4. What feedback would you have for the creator of this written signout? What (if anything) do you think could be improved to better help you assess this patient?

* 5. What specific discharge adverse event(s) do you think this patient is at risk for?