D.

DISCHARGE/TRANSFER OF PATIENTS

NC = 0

PC = 1

C = 2

NA

COMMENTS

25

1.

There is evidence of discharge or outpatient follow-up planning

2.

Follow-up arrangements are agreed with patients and carers by doctors prior to discharge or outpatient procedure/ treatment has been completed

3.

Discharge or outpatient treatment follow-up summary in Patient’s clinical file or a short summary in out-patient note is evident

4.

Referral letter to community doctor if required

5.

Education, re: discharge or post-outpatient procedure/ treatment drugs, is noted

E.

GENERAL OVERVIEW

NC = 0

PC = 1

C = 2

NA

COMMENTS

15

1.

The clinical record reflects a high quality of care

2.

Presents a total picture of this patient

3.

The clinical record reflects the involvement of other healthcare team members e.g. Social Worker, etc.

4.

There is evidence that hospital policies were followed

5.

Patient education during hospitalisation or outpatient consultation/ procedure/ treatment, and at discharge or outpatient follow-up planning were adequate