The Discharge Summary Audit resembles BCMA's Summary Audit, which is a comparison between diagnosis and procedure in the discharge summary against information in the medical record by an auditor, given an assumption that the medical record is the gold standard.
The continuation of treatment between hospital departments and the primary care physician had been issued in several studies using discharge letters audit [ 5- 7].
The issue is who takes on the new tasks of identifying patients, coordinating patient discharge and auditing the discharge letters.
Table 1 Audit of discharge summary Details assessed 1. Demographic details 2. Diagnosis 3. Prescription 4. Discharge instructions 5. Investigation values 6. Follow-up details 7. Patient's signature 8. Doctor's signature.
Patient-level, lifetime Markov models evaluated the impact of high vs low adherence to tamoxifen using linked prescribing, cancer registry, clinical cancer audit, hospital discharge and death records.
Survival analysis examined the effect of adherence on all-cause mortality, breast cancer death and recurrence, using linked prescribing, cancer registry, clinical cancer audit, hospital discharge and death records.
Prescribing, hospital discharge, cancer registry, cancer audit and General Registrar's Office death certificates were extracted, record-linked and anonymised for all women with breast cancer, who were resident for the entire study period or until death.
In 2014, we audited our discharge summaries over a two month period.
Canadian hospital discharge data are routinely audited and the accuracy of data is greater than 95% [ 12].
All medical records of admitted patients during three periods were retrospectively audited post discharge to determine the extent to which nicotine dependence treatment was recorded as being used by patients.
Similarly an Australian audit of discharged patients with schizophrenia found that only 3% had a post prandial blood sugar and 7.5% triglycerides and cholesterol recorded in their case notes.
