Table 2 Details documented (%), n = 200
From: Pre-formatted written discharge summary—a step towards quality assurance in the emergency department
Demographic details | Clinical details | ||
|---|---|---|---|
Name | 190 (95) | Diagnosis | 176 (88) |
Medical record no. | 138 (69) | Prescription | 176 (88) |
Date of birth | 0 (0) | Discharge instructions | 176 (88) |
Sex | 158 (79) | Investigation values | 30 (15) |
Date of visit | 168 (84) | Follow-up advice | 14 (7) |
Postal code | 2 (1) | Doctor’s signature | 178 (89) |
Patient’s signature | 160 (80) | ||