RT Journal Article SR Electronic T1 The efficacy of computer-enabled discharge communication interventions: a systematic review JF BMJ Quality & Safety JO BMJ Qual Saf FD BMJ Publishing Group Ltd SP 403 OP 415 DO 10.1136/bmjqs.2009.034587 VO 20 IS 5 A1 Soror Mona Motamedi A1 Juan Posadas-Calleja A1 Sharon Straus A1 David W Bates A1 Diane L Lorenzetti A1 Barry Baylis A1 Janet Gilmour A1 Shandra Kimpton A1 William A Ghali YR 2011 UL http://qualitysafety.bmj.com/content/20/5/403.abstract AB Context Traditional manual/dictated discharge summaries are inaccurate, inconsistent and untimely. Computer-enabled discharge communications may improve information transfer by providing a standardised document that immediately links acute and community healthcare providers.Objective To conduct a systematic review evaluating the efficacy of computer-enabled discharge communication compared with traditional communication for patients discharged from acute care hospitals.Data sources MEDLINE, EMBASE, Cochrane CENTRAL Register of Controlled Trials and MEDLINE In-Process. Keywords from three themes were combined: discharge communication, electronic/online/web-based and controlled interventional studies.Study selection Study types included: clinical trials, quasiexperimental studies with concurrent controls and controlled before–after studies. Interventions included: (1) automatic population of a discharge document by computer database(s); (2) transmission of discharge information via computer technology; or (3) computer technology providing a ‘platform’ for dynamic discharge communication. Controls included: no intervention or traditional manual/dictated discharge summaries. Primary outcomes included: mortality, readmission and adverse events/near misses. Secondary outcomes included: timeliness, accuracy, quality/completeness and physician/patient satisfaction.Data extraction Description of interventions and study outcomes were extracted by two independent reviewers.Results 12 unique studies were identified: eight randomised controlled trials and four quasi-experimental studies. Pooling/meta-analysis was not possible, given the heterogeneity of measures and outcomes reported. The primary outcomes of mortality and readmission were inconsistently reported. There was no significant difference in mortality, and one study reported reduced long-term readmission. Intervention groups experienced reductions in perceived medical errors/adverse events, and improvements in timeliness and physician/patient satisfaction.Conclusions Computer-enabled discharge communications appear beneficial with respect to a number of important secondary outcomes. Primary outcomes of mortality and readmission are less commonly reported in this literature and require further study.