From: The Older Persons’ Transitions in Care (OPTIC) study: pilot testing of the transition tracking tool
Stage of transitiona | |||||
---|---|---|---|---|---|
NH1 | EMS1 | ED | EMS2 | NH2 | |
Documentation | N (%) | N (%) | N (%) | N (%) | N (%) |
Medication list | 33 (82.5) | 47 (100.0) | 48 (94.1) | c | 18 (50.0) |
Patient summary and transfer Information | 29 (72.5) | 42 (89.4) | 41 (80.4) | c | 6 (16.7) |
Record of allergy | 27 (67.5) | 38 (80.9) | 39 (76.5) | c | 8 (22.2) |
DNR Order | 23 (57.5) | 31 (66.0) | 34 (66.7) | c | 6 (16.7) |
Advance directive | 17 (42.5) | 19 (40.4) | 17 (33.3) | c | 2 (5.5) |
Patient Care Plan | 11 (27.5) | 11 (23.4) | 17 (33.3) | c | 5 (13.9) |
Resident Data | 8 (20.0) | 18 (38.3) | 16 (31.4) | c | 1 (2.8) |
Physician Orders & Notes | 3 (7.5) | 7 (14.9) | 5 (9.8) | c | 1 (2.8) |
Resident Clinical Data | 2 (5.0) | 4 (8.5) | 8 (15.7) | c | 3 (8.3) |
List of Diagnoses | 3 (7.5) | 5 (10.6) | 6 (11.8) | c | |
PCR form | b | b | 44 (86.3) | c | 3 (8.3) |
ED summary | b | b | b | 19 (65.5) | 14 (38.9) |
Inpatient summary | b | b | b | 8 (27.6) | 8 (22.2) |
Transfer record | b | b | b | 7 (24.1) | 8 (22.2) |
Lab results/orders | b | b | b | c | 9 (25.0) |
ED Nurses’ Notes | b | b | b | c | 8 (22.2) |
Patient follow up | b | b | b | c | 3 (8.3) |
Inpatient forms | b | b | b | c | 3 (8.3) |
Consultations | b | b | b | c | 3 (8.3) |
Inpatient Nurses’ Notes | b | b | b | c | 3 (8.3) |
Follow up appointments | b | b | b | c | 2 (5.5) |
OR documentation | b | b | b | c | 3 (8.3) |
Other | 2 (5.0) | 1 (2.1) | 4 (7.8) | c | 0 (0.0) |
Valid cases (for each type of documentation) | 40 | 47 | 51 | 29 | 36 |
Missing | 14 | 7 | 3 | 22d | 15d |