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Quality of psychiatric discharge summaries: a service evaluation following the introduction of an electronic discharge summary system

  • M. Abbas (a1), T. Ward (a1), M. H. Peivandi (a1), E. McKenzie (a1), K. Kujawska-Debiec (a1) and A. Hills (a1)...



There has been a recent move in psychiatry towards the use of electronic discharge (e-discharge) summaries in an effort to improve the efficiency of communication between primary and secondary care, but there are little data on how this affects the quality of information exchanged.


To evaluate the quality of psychiatric discharge summaries before and after the introduction of the e-discharge summary system.


A retrospective analysis of 50 dictated discharge summaries from 1 January to 1 July 2010 and of 50 e-discharge summaries from 1 January to 1 July 2012, evaluating for the inclusion of 15 key items of clinical information.


The average total score of the dictated summaries (mean=9.5, s.d.=2.0) was significantly higher (p<0.001) than the e-discharge summaries (mean=6.7, s.d.=1.8). There were statistically significant differences in five of the standards: findings of physical examination (p<0.001), ICD-10 code (p<0.001), forensic history (p<0.001), alcohol history (p<0.001) and drug history (p<0.001).


Our results revealed a decline in the quality of discharge summaries following the introduction of an electronic system. The reasons for this are unclear and require further analysis. Specific suggestions will depend on the local need, but include improvements in software design and layout as well as better education and training.


Corresponding author

*Address for correspondence: M. Abbas, Consultant Psychiatrist, Leicestershire Partnership NHS Trust, Bradgate Unit, Glenfield Hospital, Groby Road, Leicester LE3 9EJ, UK. (Email:


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Black, AD, Car, J, Pagliari, C, Anandan, C, Cresswell, K, Bokun, T, Sheikh, A (2011). The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Medicine 8,
Boonstra, A, Broekhuis, M (2010). Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC Health Services Research 10, 231.
Conway, KP, Compton, W, Stinson, FS, Grant, BF (2006). Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry 67, 247257.
Crossan, I, Curtis, D, Ong, Y (2004). Audit of psychiatric discharge summaries: completing the cycle. Psychiatric Bulletin 28, 329331.
Jones, DR, Macias, C, Barreira, PJ, Fisher, WH, Hargreaves, WA, Harding, CM (2004). Prevalence, severity, and co-occurrence of chronic physical health problems of persons with serious mental illness. Psychiatric Services (Washington, D.C.) 55, 12501257.
Maslove, DM, Leiter, RE, Griesman, J, Arnott, C, Mourad, O, Chow, CM, Bell, CM (2009). Electronic versus dictated hospital discharge summaries: a randomized controlled trial. Journal of General Internal Medicine 24, 9951001.
O’Leary, KJ, Liebovitz, DM, Feinglass, J, Liss, DT, Evans, DB, Kulkarni, N, Baker, DW (2009). Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine 4, 219225.
Scullard, P, Iqbal, N, White, L, Olla, E, Thomson, GA (2007). Improved communication between hospital and general practice using online patient discharge summaries. Journal of Telemedicine and Telecare 13, 5658.



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