FREE 10+ Hospital Discharge Summary Samples [ Patient, Therapy, Maternity ]

Have you ever experienced getting admitted in a hospital? There comes a point where you get better and get cleared from your attending doctor, and when that time comes, the medical staff are given the task to fill out your hospital discharge summary. This task is usually assigned to the junior doctors, and they might have had formal or informal training on how to do this. Are you unsure how to fill up a patient’s hospital discharge summary? Look no further! In this article, we will give some tips to guide you create your own while also providing you with free, downloadable, and editable samples that you could use. Keep on reading!

Have you ever experienced getting admitted in a hospital? There comes a point where you get better and get cleared from your attending doctor, and when that time comes, the medical staff are given the task to fill out your hospital discharge summary. This task is usually assigned to the junior doctors, and they might have had formal or informal training on how to do this. Are you unsure how to fill up a patient’s hospital discharge summary? Look no further! In this article, we will give some tips to guide you create your own while also providing you with free, downloadable, and editable samples that you could use. Keep on reading!

10+ Hospital Discharge Summary Samples

1. Hospital Discharge Summary Sample

2. Printable Hospital Discharge Summary

3. Hospital Discharge Summary Assessment

4. Standard Hospital Discharge Summary

5. Hospital Discharge Summary Report

6. Hospital Discharge Summary Form

7. Hospital Discharge Summary Policy

8. Editable Hospital Discharge Summary

9. Physical Therapy Hospital Discharge Summary

10. Professional Hospital Discharge Summary

11. Hospital Discharge Summary Format

What Is a Hospital Discharge Summary?

According to a report from Advances in Patient Safety, a hospital discharge summary is a ” primary document that function as the means of communicating a patient’s post-hospital care plan to the post-hospital care team. The discharge summary is frequently the only form of communication that the patient receives before moving on to the next level of treatment.” This medical document allows for a secure transition of care from the hospital to the community, offering timely and accurate information to help with ongoing treatment. Therefore, this an important tool in ensuring the safety of patients when they leave the hospital.

How to Create a Hospital Discharge Summary

If you’re interested in creating a hospital discharge summary on your own, here are the key components that this document should contain:

1. Reason for Hospitalization

This should include the patient’s initial condition during the hospital admission, the hospital’s initial diagnostic evaluation, and the patient’s present condition.

2. Significant Findings

This section discloses the primary diagnosis given by the attending physicians to the patient. Simply put, the primary diagnosis is the root cause of the admission. It will shed light on the patient’s main condition that was treated or explored during the relevant healthcare episode; such as the main symptoms and abnormal findings.

3. Instructions for the patient and their family

This section consists of the following:

• discharge medications
• activity orders
• therapy orders
• dietary instructions
• plans for medical follow-up

4. Signature of the attending physician

Most importantly, the signature of the patient’s attending physician is required in order to authenticate the information and instructions reported in the hospital discharge summary. Without it, the document will be considered erroneous.

These are the fundamental that summarizes a hospital discharge summary document. While it serves as a strong foundation for the summary, there are also other components that could be considered to further improve patient safety.

FAQs

A Hospital Discharge summary, in essence, ensures the safety of a patient. It gives the necessary information needed to assure the seamless transition of the inpatient healthcare to the outpatient activities required. Hence, with the use of our free templates, you are provided with great examples on how to create a summary that is effective and efficient. Print these samples out and you’re good to go!