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[Nursing report for patient discharge. A practical service experience]
M R Ramos Alfonso1, J Bonillo Madrid, N Galdeano Rodríguez
1Complejo Hospitalario Torrecárdenas Almería.
Summary
This study outlines a standardized hospital medical release certificate process to ensure continuity of patient care. The developed document and procedures improve interprofessional communication and information accessibility for all stakeholders.
Area of Science:
- Nursing
- Healthcare Administration
- Health Information Management
Context:
- Hospital medical release certificates are crucial for ongoing patient treatment.
- Patients expect timely, high-quality, individualized care.
- Administrators seek efficient interdepartmental coordination.
Purpose:
- To provide a guided document for completing hospital medical release certificates.
- To establish standardized procedures for report emission, form transfer, and filing.
- To integrate these reports into routine nursing practice.
Summary:
- A consensus-driven document and standardized circuits for medical release certificates were developed.
- These procedures meet the need for regulated information in patient discharge.
- The document has been accepted by other organizations and integrated into nursing workflows.
Impact:
- Ensures availability of information to all interested parties.
- Enhances and accelerates interprofessional communication.
- Provides differentiated information tailored to receiver needs.