PDF(Pubmed)
Abstract：
BACKGROUND: To ensure a safe patient discharge from hospital it is necessary to transfer all relevant information in a discharge summary (DS). The aim of this study was to evaluate a bundle of measures to improve the DS for physicians, nurses and patients.
METHODS: In a double-blind, randomized, controlled trial, four different versions of DS (2 original, 2 revised) were tested with physicians, nurses and patients. We used an evaluation sheet (Case report form, CRF) with a 6-point Likert scale (1 = completely agree; 6 = strongly disagree).
RESULTS: In total, 441 participants (physicians n = 146, nurses n = 140, patients n = 155) were included in the study. Overall, the two revised DS received significant better ratings than the original DS (original 2.8 ± 0.8 vs. revised 2.1 ± 0.9, p < 0.001). Detailed results for the main domains are structured DS (original 1.9 ± 0.9 vs. revised 2.2 ± 1.3, p = 0.015), content (original 2.7 ± 0.9 vs revised 2.0 ± 0.9, p < 0.001) and comprehensibility (original 3.8 ± 1.2vs. revised 2.3 ± 1.2, p < 0.001).
CONCLUSIONS: With simple measures like avoiding abbreviations and describing indications or therapies with fixed contents, the DS can be significantly improved for physicians, nurses and patients at the same time.
BACKGROUND: First registration 13/11/2020 NCT04628728 at www.
RESULTS: gov , Update 15/03/2023.
METHODS: In a double-blind, randomized, controlled trial, four different versions of DS (2 original, 2 revised) were tested with physicians, nurses and patients. We used an evaluation sheet (Case report form, CRF) with a 6-point Likert scale (1 = completely agree; 6 = strongly disagree).
RESULTS: In total, 441 participants (physicians n = 146, nurses n = 140, patients n = 155) were included in the study. Overall, the two revised DS received significant better ratings than the original DS (original 2.8 ± 0.8 vs. revised 2.1 ± 0.9, p < 0.001). Detailed results for the main domains are structured DS (original 1.9 ± 0.9 vs. revised 2.2 ± 1.3, p = 0.015), content (original 2.7 ± 0.9 vs revised 2.0 ± 0.9, p < 0.001) and comprehensibility (original 3.8 ± 1.2vs. revised 2.3 ± 1.2, p < 0.001).
CONCLUSIONS: With simple measures like avoiding abbreviations and describing indications or therapies with fixed contents, the DS can be significantly improved for physicians, nurses and patients at the same time.
BACKGROUND: First registration 13/11/2020 NCT04628728 at www.
RESULTS: gov , Update 15/03/2023.
摘要：
背景：为了确保患者安全出院，有必要在出院摘要（DS）中传输所有相关信息。这项研究的目的是评估一系列改善医生DS的措施，护士和病人。
方法：在双盲中，随机化，对照试验,四个不同版本的DS(2个原始版本，2修订版)与医生一起测试，护士和病人。我们使用了一份评估表(病例报告表，CRF）具有6点Likert量表（1=完全同意；6=强烈不同意）。
结果：总计，441名参与者（医生n=146，护士n=140，患者n=155）被纳入研究。总的来说,两个修订后的DS获得的评级明显优于原始DS（原始2.8±0.8与修订2.1±0.9，p<0.001)。主要域的详细结果为结构化DS（原始1.9±0.9与修订2.2±1.3，p=0.015)，内容（原始2.7±0.9vs修订2.0±0.9，p<0.001）和可理解性（原始3.8±1.2vs.修订2.3±1.2，p<0.001)。
结论：通过简单的措施，如避免缩写和描述适应症或具有固定内容的治疗，医生的DS可以显著改善，护士和病人同时
背景：第一次注册13/11/2020NCT04628728在www.
结果：政府，更新15/03/2023。
方法：在双盲中，随机化，对照试验,四个不同版本的DS(2个原始版本，2修订版)与医生一起测试，护士和病人。我们使用了一份评估表(病例报告表，CRF）具有6点Likert量表（1=完全同意；6=强烈不同意）。
结果：总计，441名参与者（医生n=146，护士n=140，患者n=155）被纳入研究。总的来说,两个修订后的DS获得的评级明显优于原始DS（原始2.8±0.8与修订2.1±0.9，p<0.001)。主要域的详细结果为结构化DS（原始1.9±0.9与修订2.2±1.3，p=0.015)，内容（原始2.7±0.9vs修订2.0±0.9，p<0.001）和可理解性（原始3.8±1.2vs.修订2.3±1.2，p<0.001)。
结论：通过简单的措施，如避免缩写和描述适应症或具有固定内容的治疗，医生的DS可以显著改善，护士和病人同时
背景：第一次注册13/11/2020NCT04628728在www.
结果：政府，更新15/03/2023。
