FAQ
What is a discharge summary and why is it important?
A discharge summary records the key details of a patient's care when they leave a hospital or facility. It hands off the diagnosis, treatment, medications, and follow-up plan so the next provider understands what happened. This continuity reduces errors and helps ensure safe ongoing care after discharge.
What should a discharge summary include?
Include the reason for admission, the diagnosis, treatments and procedures performed, medications at discharge, and the patient's condition on leaving. Add follow-up appointments, instructions, and pending test results. Clear, complete details ensure the receiving provider or patient has everything needed to continue care safely.
Who prepares a discharge summary?
A physician or the treating clinician usually prepares the discharge summary, sometimes with input from nurses, pharmacists, or residents. It is typically completed at or near the time of discharge so the information is accurate and timely for the patient and any provider taking over their care.
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