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Electronic discharge summary driving advice: current practice and future directions

Journal Article


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Abstract


  • Background

    Driving is a complex task. Many older drivers are unaware of their obligation to inform authorities of conditions which may impact upon their driving safety.

    Aims

    This study sought to establish the adequacy of driving advice in electronic discharge summaries from an Australian stroke unit.

    Method

    One month of in-patient electronic discharge summaries were reviewed. A predetermined list of items was used to assess each electronic discharge summary: age; gender; diagnosis; relevant co-morbidities; deficit at time of discharge; driving advice; length of stay; and discharge destination.

    Results

    Of 41 participants, the mean age was 72 years. Twenty patients had a discharge diagnosis of stroke, nine of transient ischaemic attack, four of seizure and one of encephalitis. Of these, only eight discharge summaries included driving advice.

    Conclusion

    The documentation of driving advice in electronic discharge summaries is poor. This has important public health, ethical and medico-legal implications. Avenues for future research are explored.

UOW Authors


Publication Date


  • 2013

Citation


  • Carmody, J., Carey, M., Traynor, V. & Iverson, D. (2013). Electronic discharge summary driving advice: current practice and future directions. Australasian Medical Journal, 6 (8), 419-424.

Scopus Eid


  • 2-s2.0-84883340806

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=2100&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/1082

Has Global Citation Frequency


Number Of Pages


  • 5

Start Page


  • 419

End Page


  • 424

Volume


  • 6

Issue


  • 8

Place Of Publication


  • Australia

Abstract


  • Background

    Driving is a complex task. Many older drivers are unaware of their obligation to inform authorities of conditions which may impact upon their driving safety.

    Aims

    This study sought to establish the adequacy of driving advice in electronic discharge summaries from an Australian stroke unit.

    Method

    One month of in-patient electronic discharge summaries were reviewed. A predetermined list of items was used to assess each electronic discharge summary: age; gender; diagnosis; relevant co-morbidities; deficit at time of discharge; driving advice; length of stay; and discharge destination.

    Results

    Of 41 participants, the mean age was 72 years. Twenty patients had a discharge diagnosis of stroke, nine of transient ischaemic attack, four of seizure and one of encephalitis. Of these, only eight discharge summaries included driving advice.

    Conclusion

    The documentation of driving advice in electronic discharge summaries is poor. This has important public health, ethical and medico-legal implications. Avenues for future research are explored.

UOW Authors


Publication Date


  • 2013

Citation


  • Carmody, J., Carey, M., Traynor, V. & Iverson, D. (2013). Electronic discharge summary driving advice: current practice and future directions. Australasian Medical Journal, 6 (8), 419-424.

Scopus Eid


  • 2-s2.0-84883340806

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=2100&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/1082

Has Global Citation Frequency


Number Of Pages


  • 5

Start Page


  • 419

End Page


  • 424

Volume


  • 6

Issue


  • 8

Place Of Publication


  • Australia