9.18 : 出院总结表

A discharge summary is a medical document usually prepared by the treating provider that provides an overview of an individual's hospital stay.

It contains crucial details about the patient's diagnosis, treatment, prescribed medications, and any follow-up care instructions the healthcare team provides.

It helps patients transition from the healthcare facility to home or a palliative care center, ensuring continuity of care.

When preparing a discharge summary, adhering to the following guidelines is crucial.

The summary should provide precise and concise descriptions in the patient's native language.

Instructions on home procedures, such as wound dressing, should be included.

A comprehensive list of prescribed medications and detailed instructions regarding the timing and dosage for each drug must be provided.

Briefly outlining potential post-discharge signs and symptoms to watch for is essential.

Contact details of community services and healthcare providers should be readily available.

The summary must include a follow-up plan to address any unresolved health issues.

Information such as discharge timing, transportation mode, and the patient's companions may also be included.