title: Discharge communication from inpatient care: an audit of written medical discharge summary procedure against the new National Health Service Standard for clinical handover.
abstract: OBJECTIVE
  To audit written medical discharge summary procedure and practice against Standard Six (clinical handover) of the Australian National Safety and Quality Health Service Standards at a major regional Victorian health service.
  
  
  METHODS
  Department heads were invited to complete a questionnaire about departmental discharge summary practices.
  
  
  RESULTS
  Twenty-seven (82%) department heads completed the questionnaire. Seven (26%) departments had a documented discharge summary procedure. Fourteen (52%) departments monitored discharge summary completion and 13 (48%) departments monitored the timeliness of completion. Seven (26%) departments informed the patient of the content of the discharge summary and six (22%) departments provided the patient with a copy. Seven (26%) departments provided training for staff members on how to complete discharge summaries. Completing discharge summaries was usually delegated to the medical intern.
  
  
  CONCLUSIONS
  The introduction of the National Service Standards prompted an organisation-wide audit of discharge summary practices against the external criterion. There was substantial variation in the organisation's practices. The Standards and the current audit results highlight an opportunity for the organisation to enhance and standardise discharge summary practices and improve communication with general practice.
authors.affiliation: Deakin University, School of Medicine, 75 Pigdons Road, Waurn Ponds, Vic. 3216, Australia. Email.
authors.forename: Daniel Brooks
authors.initials: DB
authors.lastname: Reid
authors.affiliation: Deakin University, School of Medicine, 75 Pigdons Road, Waurn Ponds, Vic. 3216, Australia. Email.
authors.forename: Shaun R
authors.initials: SR
authors.lastname: Parsons
authors.affiliation: Barwon Health, PO Box 281, Geelong, Vic. 3220, Australia. Email.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Gill
authors.affiliation: Department of General Medicine, Geelong Hospital, Deakin University and Barwon Health, Ryrie Street, Geelong, Vic. 3220, Australia. Email.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Hughes
mesh_terms: D003142:Communication; D006740:Hospital Administrators; D006760:Hospitalization; D008485:Medical Audit; D009313:National Health Programs; D010351:Patient Discharge / Q000592:standards*; D011795:Surveys and Questionnaires; D014739:Victoria