Questionnaire goal is to measure the quality and relevancy of written information in the items identified by previous studies to be important for continual management of the patient [1, 2, 21] .
All summaries were evaluated for the quality of information using yes/no options in the questions for the following key items in EDS with a comment.
indicate how important you think each entry is with respect to the needs of a GP viewing the summary for purposes of ongoing management of the patient. ORANGE for “most important” items which must be available directly in the top-level summaryGREEN for “important” items which should be accessible with one mouse click from the top-level summary.BLUE for “least important” items which would be better excluded from the discharge summary report.
panel members were asked to code the reports using orange, blue and green highlighters.orange -> ‘most important’ green -> ‘important’blue -> ‘least important’
We have improved our hyperlinking capability to providing linking to one topically relevant page instead of a list of pages returned by MedlinePlus. Currently we are exploring the provision of semantic descriptions for the abbreviations in Discharge Summaries text. Planning on conducting a user feed back to determine the efficacy of such a system is currently under way.
The Quality of Electronic Discharge Summaries for Post-Discharge Care: Hospital Panel Assessment and IT to Support Improvement
The Quality of Electronic Discharge Summaries for Post-Discharge Care: Hospital Panel Assessment and IT to Support Improvement<br />MehnazAdnan<br />With: Jim Warren, Martin Orr<br />
Objectives<br />Panel assessment of quality of Electronic Discharge Summaries(EDS) information for supporting post-discharge care <br />Improvement of the EDS information quality using Information Technology <br />
Discharge Summary<br />Synopsis of patient condition<br />Communicates post-discharge framework of care<br />In Auckland:<br />Transmitted via HL7 messages<br />Hard copy to patient on discharge<br />
Assessment of relevancy</li></li></ul><li>EDS Sections<br />
EDS Analyses Questionnaire - Information Quality<br />Information optimal to support ongoing management of the<br />patient in <br />General Practice?<br />Provides adequate information to the patient about his/her ongoing care?<br />
Findings: Assessment of Quality by EDS Sections<br />20%<br />30%<br />45%<br />42%<br />
Quality Issues in EDS<br /><ul><li>Irrelevant information
Use of abbreviation and medical jargon</li></li></ul><li>EDS Analyses Questionnaire - Information Relevancy<br />How important each entry is for a GP <br />ORANGE “most important”<br />GREEN “important” <br />BLUE “least important” <br />
Assessment of Relevancy- Proportion of Importance per EDS Section<br />
EDS Quality Issues - Summary<br /><ul><li>Irrelevant data in laboratory results
Key Messages<br /><ul><li>Discharge Summaries have deficiencies in information quality
Information technology can assist in improving quality of information in EDSs
We provide</li></ul>Writing Support in free text ofEDS<br />Reading Support in the form of synonyms and dynamic hyperlinks<br /><ul><li>Supports goal of empowering patients in their care process</li></li></ul><li>Ongoing Work<br />Expert panel feedback for readability support for the hyperlinked pages<br />Topic-specific<br />Explains concept<br />Likely to help patient with his/her post-discharge care<br />
Further Reading<br />Assessment of Text Characteristics of Electronic Discharge Summaries:<br />M. Adnan, J. Warren, and M. Orr, "Assessing Text Characteristics of Electronic Discharge Summaries and their Implications for Patient Readability," in Second Australasian Workshop on Health Data and Knowledge Management 2010.<br /><ul><li>Methods/Results of Recent Studies:</li></ul>M. Adnan, J. Warren, and M. Orr, "Enhancing Patient Readability of Discharge Summaries with Automatically Generated Hyperlinks," Health Care and Informatics Review Online, December 2009.<br />M. Adnan, J. Warren, and M. Orr, “Ontology Based Semantic Recommendations for Discharge Summary Medication Information for Patients" 23rd IEEE Symposium on Computer-Based Medical Systems (CBMS 2010); Perth, Australia; 2010.<br />
Contact<br />Mehnaz Adnanmadn002@aucklanduni.ac.nz<br />For this presentation and others from HINZ please go to the hive<br />