Category Number | Item name - Completeness | Before: N(%) N = 386 | After: N(%) N = 387 | P Value a | |
---|---|---|---|---|---|
Administrative: GP, Patient, Administration and Discharge details | 1 | GP Practice code c | 0 (0.0) | 362 (93.5) | <0.001 b |
2 | Gender c | 1 (0.3) | 374 (96.6) | <0.001 b | |
2 | Patient Telephone Number c | 1 (0.3) | 364 (94.1) | <0.001 b | |
3 | Method of Admission | 47 (12.2) | 375 (96.9) | <0.001 | |
4 | Date of Discharge c | 340 (88.1) | 385 (99.5) | <0.001 b | |
4 | Destination Address c | 0 (0.0) | 373 (96.4) | <0.001 b | |
4 | Discharging Consultant c | 356 (92.2) | 387 (100.0) | <0.001 b | |
Clinical: Clinical information | 5 | Diagnosis at Discharge c | 376 (97.4) | 387 (100.0) | 0.001 b |
5 | Medication Changes c | 304 (78.8) | 386 (99.7) | <0.001 b | |
5 | Discharge Medications c | 42 (10.9) | 376 (97.2) | <0.001 | |
5 | Medication Recommendations | 148 (38.3) | 378 (97.7) | <0.001 | |
Other RCP Mandatory: Person completing summary | 7 | Grade c | 199 (51.6) | 6 (1.6) | <0.001 |
7 | Specialty c | 76 (19.7) | 1 (0.3) | <0.001 b | |
7 | Date Discharge Record Completed c | 382 (99.0) | 12 (3.1) | <0.001 b | |
Non Mandatory | 4 | Discharge Method | 83 (21.5) | 131 (33.9) | <0.001 |
5 | Operations and Procedures | 137 (35.5) | 297 (76.7) | <0.001 | |
5 | Allergies | 5 (1.3) | 140 (36.2) | <0.001 b | |
5 | Risks and Warnings | 52 (13.5) | 135 (34.9) | <0.001 | |
5 | Relevant Treatments and Changes made to Treatments | 318 (82.4) | 191 (49.4) | <0.001 | |
6 | Hospital – Action | 253 (65.5) | 133 (34.4) | <0.001 | |
6 | Hospital – Person Responsible | 215 (55.7) | 117 (30.2) | <0.001 | |
6 | Hospital – Appropriate Data and Time | 175 (45.3) | 72 (18.6) | <0.001 |