title: [A snail leaves trails--how delayed provision of information affects the general practitioner and patient].
abstract: Two patients were seen by medical specialists at hospital, but the general practitioner received their discharge letters too late. The first patient was a man aged 50 referred to the emergency department of the hospital with suspected pulmonary embolism. He was sent home and was found dead two days later. The cause of death was pulmonary embolism. The day after, the GP received the discharge letter from the hospital, in which no attention was paid to the possibility of a pulmonary embolism. The second patient, a 57-year-old man, was send to the hospital by his GP for a suspected urinary tract infection. The urologist diagnosed a prostate carcinoma, but the GP was not informed for 4 months. If the GP had been informed in time, the death of the first patient maybe could have been prevented. The second patient was very anxious and uncertain for a long time, as the GP could not offer appropriate guidance and support, due to a lack of information. In both cases the medical specialist did not follow the guidelines for mutual communication established by the professional associations of GPs and medical specialists.
authors.affiliation: Leids Universitair Medisch Centrum, afd. Public Health en Eerstelijnsgeneeskunde, Leiden, the Netherlands. j.a.h.eekhof@lumc.nl
authors.forename: Just A H
authors.initials: JA
authors.lastname: Eekhof
authors.forename: Margot
authors.initials: M
authors.lastname: Heijmans
authors.forename: Angelique A C M
authors.initials: AA
authors.lastname: Meskers-van Geel
authors.forename: W J J Pim
authors.initials: WJ
authors.lastname: Assendelft
mesh_terms: D004636:Emergency Service, Hospital; D005194:Family Practice; D017809:Fatal Outcome; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010817:Physician-Patient Relations