Evaluation of computer generated neonatal discharge summaries.
Open Access
- 1 April 1991
- journal article
- Published by BMJ in Archives of Disease in Childhood
- Vol. 66 (4 Spec No), 433-436
- https://doi.org/10.1136/adc.66.4_spec_no.433
Abstract
Computer generated and dictated discharge summaries were compared for all 133 babies admitted for intensive and special care during a six month period. Whereas 130/133 (98%) had a computer generated summary, only 94/133 (71%) had a dictated summary. In addition, computerised summaries were completed at discharge, but there was a delay up to 26 weeks for dictated summaries. Dictated summaries had more items of basic data missing but were more readable. A main diagnosis was missing in only 5/95 (5%) of dictated and 1/130 (1%) computerised summaries. Of the computer generated summaries, 114/133 (86%) were suitable to give to parents. Satisfactory discharge summaries for babies requiring intensive or special care can be generated with an on line computer system.Keywords
This publication has 3 references indexed in Scilit:
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- Selection of an obstetric data base for a microcomputer and its use for on-line production of birth notification forms, discharge summaries and perinatal auditBJOG: An International Journal of Obstetrics and Gynaecology, 1983