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Computerized discharge summaries.

P H Stern, E H Rubin

    Archives of Physical Medicine and Rehabilitation
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    A computerized discharge summary system was implemented in a rehabilitation hospital, covering all patient diagnoses. This system provides valuable statistics for research, review, and administrative needs.

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    Area of Science:

    • Health Informatics
    • Medical Record Systems

    Background:

    • Effective patient discharge summaries are crucial for continuity of care and hospital operations.
    • Rehabilitation hospitals manage diverse patient populations across various diagnostic categories.

    Purpose of the Study:

    • To describe a novel computerized, English text discharge summary system.
    • To detail its application in a 150-bed rehabilitation hospital for all discharged patients.

    Main Methods:

    • Implementation of a comprehensive computerized system for generating discharge summaries.
    • System designed to accommodate all diagnostic categories within the hospital.

    Main Results:

    • The system exclusively manages discharge summaries for all patients.

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  • Provides cumulative statistics and statistical routines for multiple purposes.

    • Conclusions:

    • The computerized system enhances the efficiency and comprehensiveness of discharge summaries.
    • Facilitates clinical research, utilization review, and administrative functions through data provision.