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6 Components of a Hospital Discharge Summary Reason for hospitalization: description of the patients primary presenting condition; and/or. docHub findings: Procedures and treatment provided: Patients discharge condition: Patient and family instructions (as appropriate): Attending physicians signature:
A discharge summary is a clinical report prepared by a health professional at the conclusion of a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers.
There is no law or procedure that requires you to sign discharge papers. If you want to leave, you can do so. However, make a letter, explaining why you decided to leave. It is possible that the hospital will begin charging for services.
The MD/DO or other qualified practitioner with admitting privileges in ance with state law and hospital policy, who admitted the patient is responsible for the patient during the patients stay in the hospital. This responsibility would include developing and entering the discharge summary.
You have the legal right to leave. There is no law that requires you to sign discharge documents. Still, you should prepare a letter that explains why you decided to leave. Keep a copy of the letter and give a copy to the hospital administrator.
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If you physician says you are medically ready to leave, the hospital must discharge you. If you decide to leave without your physicians approval, the hospital still must let you go.
A discharge summary plays a crucial role in keeping patients safe after leaving a hospital. As an Advances in Patient Safety report notes, Hospital discharge summaries serve as the primary documents communicating a patients care plan to the post-hospital care team.
Unless you have a mental illness that causes hospital staff to determine you are an immediate threat to yourself or others, you have the right to refuse treatment or leave the hospital if you wish.
Almost all the studies demonstrated the same consequences for patients leaving against medical advice. These include adverse disease outcomes that led to higher readmission rates within 7-days, 30-days, and 90-days. More extended hospital stays for those who were readmitted after DAMA were also reported.
Hospital discharge summaries serve as the primary documents communicating a patients care plan to the post-hospital care team. Often, the discharge summary is the only form of communication that accompanies the patient to the next setting of care.

patient discharge letter from hospital pdf