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Good transfer summary (10 (4 any complication at Burke or Significant…
Good transfer summary
10
1 admitting diagnosis
course at acute hospital
before admission
Burke course
fall
4 any complication at Burke or
Significant findings
leukocytosis
UTI
aspiration pnuemonia
electrolyte imbalance
5 reason for transfer
pt's subjective complaints
chest pain
shortness of breath
worsening of hemiparesis or AMS
6-8 v/s. PE. Cognitive
IMPORTANT for unstable patients
9 recommendation
which will help ER staff make a diagnosis
10 cosigned by attending
standard
less thani 1 hour
Reviewed and confirmed by attending
Any info valuable for ER physician
Acute transfer
definition
free standing rehab
insufficient resources
Unstable patients
transferred to emergency room
data
Burke
17.9%
national
10.8%
many factors
quality of transfer summary
problem
suboptimal care
d/t insufficient info
important?
Good quality
Decided to evaluate
quality
Results
not do well
HPI. Course at Burke, VS
did well
admitting diagnosis
differential dx
How
september - December 2017
141 patients
Important info?
Guidline
Joint commision
a limit
Acute -> subacute
Discharge summary
6 components
more literature
modified old criteria
developed New 10 components
important for acute transfer
Discuss w/ Ambrose
PI project
Acute transfer summary
w/ Ambrose