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Table 4 Documentation accompanying resident at each stage

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
  1. aNH1 = originating nursing home; EMS1 = emergency medical services to ED; ED = emergency department; EMS2 = transportation service from ED; NH2 = return to nursing home.
  2. bnot applicable.
  3. cnot recorded in the T3.
  4. d3 residents died in inpatient care.