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Discharge Summary Forms

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:

Barriers to Effective Communication II

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

Planning Nursing Care I

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...

SBAR I: Understanding the Concept

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...

Introduction To Health Care Delivery System

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

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Updated: May 15, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Reframing "No-Show": Patient-Reported Barriers for Missed Post-Hospital Discharge Primary Care Follow-Up Visits.

Jessica J Zhang^1,2, Brian Le³, Erin Dowling^3,4

¹Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality

|May 14, 2026

Summary

Post-hospital primary care follow-up is crucial for reducing readmissions. Addressing patient-reported communication and access barriers can improve appointment completion rates.

Keywords:

care coordination hospital medicine primary care transitions of care

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Health Services Research
Patient Experience
Primary Care Medicine

Background:

Post-hospital discharge primary care follow-up is essential for reducing patient readmissions.
Missed primary care appointments, termed "no-show" visits, lead to fragmented care and system inefficiencies.
Limited research exists on patient-reported barriers to successful post-discharge primary care follow-up.

Purpose of the Study:

To identify patient-reported barriers to completing post-discharge primary care follow-up visits.
To inform quality improvement initiatives aimed at enhancing primary care access and communication.

Main Methods:

A 6-week quality improvement initiative involved care coordinators contacting adult patients (N=36) with missed post-discharge primary care follow-up appointments.
Interviews were conducted with patients who were successfully reached (n=22) to gather self-reported reasons for missed appointments.

Main Results:

The primary barriers identified were missed communication opportunities (n=15), including lack of awareness of appointment scheduling or perceived need for follow-up.
Access difficulties (n=7) and family or work-related issues (n=2) were also reported.
The majority of patients attended their rescheduled appointments.

Conclusions:

Reframing "no-show" visits as opportunities to address systemic communication and access barriers is recommended.
Health systems should proactively implement strategies to mitigate these identified barriers to improve post-discharge care continuity.