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Arch Dis Child 66:433-436 doi:10.1136/adc.66.4_Spec_No.433
  • Research Article

Evaluation of computer generated neonatal discharge summaries.

  1. T Lissauer,
  2. C M Paterson,
  3. A Simons,
  4. R W Beard
  1. Paddington Green Children's Unit, St Mary's Hospital, London.

      Abstract

      Computer generated and dictated discharge summaries were compared for all 133 babies admitted for intensive and special care during a six month period. Whereas 130/133 (98%) had a computer generated summary, only 94/133 (71%) had a dictated summary. In addition, computerised summaries were completed at discharge, but there was a delay up to 26 weeks for dictated summaries. Dictated summaries had more items of basic data missing but were more readable. A main diagnosis was missing in only 5/95 (5%) of dictated and 1/130 (1%) computerised summaries. Of the computer generated summaries, 114/133 (86%) were suitable to give to parents. Satisfactory discharge summaries for babies requiring intensive or special care can be generated with an on line computer system.