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The Impact of an Electronic Discharge Instruction Application on the Quality of Discharge Instruction Documentation

Bentley, Thomas D.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1393342438

Abstract Details

1997, Master of Science, Ohio State University, Allied Medical Professions.
In 1996 OSUMC implemented an in-house developed discharge instruction application termed Electronic Discharge Instructions or EDI. This system enabled physicians to complete patient discharge instructions from any OSUMC computer or terminal. Unlike most medical records that typically remain part of the confidential medical record, discharge instruction documents are reviewed by a number of individuals for a variety of purposes. Although computer systems may be used in a variety of aspects of the health care industry, could such technology improve the quality of the instructions a patient receives at discharge? A total of 210 medical records were reviewed. These were divided into two groups of 105, hand written instructions and instructions created with EDI. The results indicated that a significant difference existed between the quality of hand written discharge instructions and instructions created with EDI. The electronic instructions received an overall higher mean score of 18.82 and sd = 1.06 (n = 105). The score was higher than the manually written instruction which received a score of 14.41 and sd = 3.70 (n = 105; F = 137.611; p < .0001). In addition to overall difference the data was examined considering document type and division a statistically significant main effect for document type was observed (F = 135.66; df = 1, 204; p < .0001). The overall mean scores of discharge documentation improved by the following margins for each of the divisions; Medicine 4.17 (from 14.92 to 18.46), Surgery 4.57 (from 14.49 to 19.06) and Rehabilitation 4.41 (from 14.41 to 18.82).
Melanie Brodnik (Advisor)
Carol Bininger (Committee Member)
Carol Osborn (Committee Member)
98 p.
Medicine; Rehabilitation

Recommended Citations

Citations

  • Bentley, T. D. (1997). The Impact of an Electronic Discharge Instruction Application on the Quality of Discharge Instruction Documentation [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1393342438

    APA Style (7th edition)

  • Bentley, Thomas. The Impact of an Electronic Discharge Instruction Application on the Quality of Discharge Instruction Documentation. 1997. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1393342438.

    MLA Style (8th edition)

  • Bentley, Thomas. "The Impact of an Electronic Discharge Instruction Application on the Quality of Discharge Instruction Documentation." Master's thesis, Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1393342438

    Chicago Manual of Style (17th edition)

osu1393342438
284
© 1997, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.