What is patient discharge summary?
What is patient discharge summary?
A discharge summary is a handover document that explains to any other healthcare professional why the patient was admitted, what has happened to them in hospital, and all the information that they need to pick up the care of that patient quickly and effectively.
What is hospital discharge?
When you leave a hospital after treatment, you go through a process called hospital discharge. A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility. Many hospitals have a discharge planner.
When should a discharge summary be completed?
B. Consideration is given to instructions relating physical activity, medications, diet and follow-up care. Discharge summaries should be completed within 3-7 days after the patient is discharged. Completed means that the summary has been dictated and/or transcribed and electronically signed.
Are discharge summaries required?
Even though discharge summaries are not required by all companies, I highly recommended writing them even if you do not take insurance and only accept private pay clients. They are useful for the client and can protect you from legal action. There are all kinds of issues that could lead to legal involvement.
What should a discharge summary include?
Discharge Summary. The Discharge Summary is an important document as it summarizes the client’s problems at admission, the assessment results, the treatment services delivered by the provider and the client’s response. It also includes an overview of the discharge plan and referrals.
What are the components of a discharge summary?
The Joint Commission mandates that discharge summaries contain certain components: reason for hospitalization, significant findings, procedures and treatment provided, patient’s discharge condition, patient and family instructions, and attending physician’s signature.
What is the definition of discharge summary?
Discharge also means to release, as from legal confinement in prison or the military service, or from some legal obligation such as jury duty, or the payment of debts by a person who is bankrupt. The document that indicates that an individual has been legally released from the military service is called a discharge.
What is discharge summary?
A discharge summary is a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers.
