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Outpatient discharge summary 2025

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The document is an ADAPCP Outpatient Discharge Summary form that outlines the necessary information for patient discharge, including reasons for admission, intake assessment, diagnosis, treatment progress, final assessments, and recommendations for further care. It also requires patient identification details.

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What is a normal discharge summary?

A discharge summary is a clinical report prepared by a health professional after a hospital stay or series of treatments. It is often the primary mode of communication between the hospital care team and aftercare providers (e.g. the patients GP).

What must all discharge summaries include?

The Joint Commission has identified six categories of information to include in discharge summaries: reason for hospitalization, significant findings, procedures and treatments provided, patients condition at discharge, patient and family instructions, and attending physician signature.

What is an outpatient summary?

Outpatient care, also called ambulatory or day patient care, does not require hospitalization. An outpatient visits a hospital, clinic, or similar facility for diagnosis, treatment, or a procedure, and then is free to leave. In some cases, outpatient care may include an overnight hospital stay.

What is included in the discharge summary?

Conclusion: The key components to include in a discharge summary are the discharge diagnosis, treatment received, results of investigations and the follow up required.

What is the standard discharge summary?

The National Standard for Patient Discharge Summary Information consists of the seven groups of headings: Patient details, Primary care healthcare professional details, Admission and discharge information, Clinical information, Medication information, Follow up and future management, and Person completing discharge

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What should be included in a discharge summary?

You should be able to get a copy from the ward manager or the hospitals Patient Advice and Liaison Service (PALS). Once youre admitted to hospital, your treatment plan, including details for discharge or transfer, will be developed and discussed with you.

What are 5 of the key elements of a hospital discharge summary?

The Joint Commission (TJC) mandates that a discharge summary be produced for every patient by the hospital provider within 30 days of discharge,4 and include (1) reason for hospitalization; (2) procedures performed; (3) care, treatment, and services provided; (4) discharge condition; (5) information provided to the

Outpatient discharge summary 2025

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What is a normal discharge summary?

What must all discharge summaries include?

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What is included in the discharge summary?

What is the standard discharge summary?

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What should be included in a discharge summary?

What are 5 of the key elements of a hospital discharge summary?

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