Page 66 - Hospitalists - Risks When You're the Doctor in the House (Part One)
P. 66

SVMIC Hospitalists - Risks When You’re the Doctor in the House





                      Discharge Summary Checklist





                         ADMINISTRATIVE INFORMATION                    MEDICAL INFORMATION

                       Patient’s Full Name                        Primary Diagnosis

                       Patient’s Age                              Secondary Diagnosis(es)

                       Hospital Medical Record Number             Presenting Symptoms
                       Date of Admission                          History of Present Illness

                       Date of Discharge                          Medical History

                       Name of Responsible Hospital Physician     Social History

                       Name of Physician Preparing Discharge      Physical Examination Findings
                       Summary
                       Name of Primary Care Physician             Diagnostic Procedures & Results

                       Discharge Summary Sent To:                 Consultations Obtained During Admission
                                                                  Consultant Recommendations

                                                                  Treatment During Admission

                                                                  Discharge Medications, Including Any New
                                                                  Medications

                                                                  Test Results Pending at Discharge

                                                                  Follow-up Arrangements Needed or Made

                                                                  Patient Condition/Status at Discharge
                                                                  Patient or Family Counseling Instructions




                                                                                    ContactSVMIC@svmic.com
                                  ®
                                                                                    800.342.2239  |   svmic.com
                                                                                                JANUARY 2021
                                                                              HOSPITALISTS - RISKS WHEN YOU’RE THE DOCTOR IN THE HOUSE
                 Patient Instructions

                 At the time of discharge, the patient should be provided with

                 a document which includes language and literacy-appropriate
                 instructions and patient education materials to order to result in
                 successful transition from the hospital. These documents should




                                                        Page 66
   61   62   63   64   65   66   67   68