Results: A total of 341 hospitalists responded to our survey (43% response rate). We found that hospitalists who completed their discharge summaries 48 hours or later after discharge were more likely to feel too busy to prepare high-quality summaries as compared to those who completed them upon discharge (54% vs 40% somewhat/strongly agree; average agreement 3.30 vs 2.77, p=0.002). Furthermore, hospitalists with fewer years of practice were more likely to report feeling too busy (51% vs 43% vs 28% somewhat/strongly agree; average agreement 3.14 vs 2.88 vs 2.42 for ≤10, 11-20, and ≥21 years, respectively, p=0.001). These findings remained significant when adjusted for each other, in addition to adjusting for practice community size and whether summaries were given to patients at time of discharge.
Conclusions: Completion of discharge summaries 48 hours or later after discharge and practice experience of fewer than 10 years were associated with hospitalists’ feeling too busy to prepare high-quality discharge summaries. On the other hand, practice community size and whether summaries were given directly to the patients upon discharge did not have significant associations with this feeling. An additional subanalysis of practice experience and perceived adequacy of training in preparing discharge summaries may identify potential areas of improvement in hospitalist training.
To cite this abstract:Chiang, NE; Sorita, A; Jenkins, SM; Kashiwagi, DT . WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 245. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/when-are-we-too-busy-to-summarize-association-of-practice-characteristics-with-hospitalists-perceived-burden-of-preparing-hospital-discharge-summaries/. Accessed April 7, 2020.