[Doctor reports of a neurological clinic in the view of permanent resident neurologists and nerve doctors].
Eight discharge reports involving five diagnoses (anterior territory ischemic stroke, epilepsy, Parkinson's syndrome, multiple sclerosis, polyneuropathy) from five neurological departments were peer-reviewed by five neurologists working in out-patient (private) practice. The review considered the diagnosis, case history, clinical status, laboratory investigation, differential diagnosis and treatment. Criticism mainly involved the quality of the clinical assessment, lack of clinical status at discharge, narrow or incomplete differential diagnosis and the quality of the neurophysiological investigations for epilepsy and polyneuropathy. Improvement potential was seen for the speed of reporting, better comprehensibility, omission of irrelevant information, greater participation of experienced neurologists in report writing, and standardization.
Niecke
G
G
Klinik für Neurologie, Otto-von-Guericke-Universität, Magdeburg.
Abragam
A
A
Beil
C
C
Meier
U
U
Reuther
P
P
Sigel
K-O
KO
Wendtland
B
B
Wallesch
C-W
CW
D000554:Ambulatory Care Facilities / Q000592:standards; D002983:Clinical Competence; D003937:Diagnosis, Differential; D005858:Germany; D006801:Humans; D008499:Medical Records / Q000592:standards*; D009462:Neurology / Q000379:methods / Q000592:standards*; D009468:Neuromuscular Diseases / Q000175:diagnosis* / Q000628:therapy*; D010351:Patient Discharge / Q000592:standards; D010380:Peer Review / Q000379:methods* / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards; D012017:Referral and Consultation