Evaluation of Computer Generated Neonatal Discharge Summaries

Overview

Journal Arch Dis Child

Specialty Pediatrics

Date 1991 Apr 1

PMID 2025039

Citations 8

Authors

T Lissauer

C M Paterson

A Simons

R W BEARD

Affiliations

Soon will be listed here.

Abstract

Computer generated and dictated discharge summaries were compared for all 133 babies admitted for intensive and special care during a six month period. Whereas 130/133 (98%) had a computer generated summary, only 94/133 (71%) had a dictated summary. In addition, computerised summaries were completed at discharge, but there was a delay up to 26 weeks for dictated summaries. Dictated summaries had more items of basic data missing but were more readable. A main diagnosis was missing in only 5/95 (5%) of dictated and 1/130 (1%) computerised summaries. Of the computer generated summaries, 114/133 (86%) were suitable to give to parents. Satisfactory discharge summaries for babies requiring intensive or special care can be generated with an on line computer system.

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References

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