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January 23, 2019BJGP OpenOpen Access

Processing discharge summaries in general practice: a qualitative interview study with GPs and practice managers

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Key result

General practice staff identified inconsistent discharge summary design, inadequate safety systems, and time pressures as key factors contributing to processing errors, highlighting the need for standardized templates and protected administrative time.

Why the study?

Discharge summaries are essential for communication from secondary care to general practice, but little is known about how primary care processes these documents.

Population

10 practice managers and 10 GPs across 10 general practices in three regions of England

Design

Qualitative semi-structured interview study

Authors

RSRachel SpencerKaiser PermanenteSRSarah RodgersUniversity of NottinghamNSNde-Eshimuni SalemaUniversity of Nottingham

Discussion

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Member takes

Implication

May support standardized templates and protected admin time in general practice; leaves open impact on error rates.

Structured PICO

P
Population
20 general practice staff (10 GPs and 10 practice managers) from 10 practices in England participated in semi-structured interviews to explore the management of discharge summaries.

Qualitative interviews with primary care staff identified key themes and strategies to mitigate faults in processing hospital discharge summaries to enhance safer care transitions.

Limitations

  • Single interviewer
  • Lack of anonymity
  • GP interviewer might introduce bias
  • Participants were almost entirely uncritical of their own practice systems

Cite This Study

Spencer et al. (2019) studied Processing discharge summaries (n=20). Discharge summary processing systems was evaluated on Themes related to factors associated with failure to respond to actions requested in discharge summaries. General practice staff identified inconsistent discharge summary design, inadequate safety systems, and time pressures as key factors contributing to processing errors, highlighting the need for standardized templates and protected administrative time.

synapsesocial.com/papers/6a7c49b00449e558d7c2e399https://doi.org/10.3399/bjgpopen18x101625
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Also Consider

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  1. 1Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care Physicians2007 · 2,141 citations
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  3. 3The contribution of latent human failures to the breakdown of complex systems1990 · 757 citations
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