Document Detail

The application of a computer data base system to the generation of hospital discharge summaries.
MedLine Citation:
PMID:  2704509     Owner:  NLM     Status:  MEDLINE    
The task of maintaining accurate and timely records of resident experiences, as well as section and departmental statistical data, may be readily accomplished with many commercially available computer data base packages. The application of this type of technology to the generation of "narrative" discharge summaries represents an extension of these applications and an incentive for house officer compliance. A system of data gathering and reporting, combined with the generation of discharge summaries, letters to referring physicians, and billing work sheets, has been in use in the Department of Obstetrics and Gynecology at The Medical College of Georgia for 2 years. A group of 103 patients discharged during the month of October 1985 served as controls for a comparable prospective group of 104 patients discharged beginning October 1, 1987. Analysis shows an average (+/- SEM) of 3.8 +/- 0.6 days from discharge to printed discharge summary from the computer system. Before implementation of the system (1985), the average was 20.9 +/- 4.5 days. This difference was statistically significant at P = .001. Although it may be difficult to quantitate improvement in quality of the data obtained for residency and departmental purposes, this reduction in delinquent charts alone may be sufficient to recommend the application of computer technology to this problem.
R P Smith; G B Holzman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  73     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-05-24     Completed Date:  1989-05-24     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  803-7     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta.
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MeSH Terms
Hospital Information Systems*
Internship and Residency
Medical Records*
Obstetrics and Gynecology Department, Hospital
Patient Discharge*
Prospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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