Table 1 Information available from inpatient notes and discharge documents
Information itemInpatient notes n = 108 (100%)TTO* form n = 104 (100%)Discharge letter n = 66 (100%)Comparison of TTO with letter χ2
Information given regularly on discharge letters and TTO forms
    Name of consultant in charge108 (100)98 (94)66 (100)p = 0.12
Information more frequently given on discharge letter than TTO
    Admission date108 (100)91 (88)66 (100)p = 0.007
    Discharge diagnosis108 (100)87 (84)66 (100)p = 0.001
    Discharge date105 (97)76 (73)65 (98)p<0.0001
    Problem list48 (44)4 (4)27 (41)p<0.0001
    Intended outcome of management noted61 (56)23 (22)43 (65)p<0.0001
    Cognitive impairment noted36 (33)7 (7)18 (27)p = 0.0005
    Requirement for support services noted40 (37)8 (8)22 (33)p<0.0001
    Functional status at discharge noted52 (48)5 (5)20 (30)p<0.0001
    Specific instruction given to GP6 (6)5 (5)14 (21)p = 0.002
    Home circumstances noted97 (90)5 (5)25 (38)p<0.0001
    Follow-up plan stated70 (65)64 (61)60 (91)p<0.0001
    Investigations noted97/105 (92)25 (24)48 (73)p<0.0001
Information more frequently given on TTO than discharge letter
    Medication list provided102 (94)100 (96)53 (80)p = 0.002
    Dose of medicines102 (94)100 (96)53 (80)p = 0.002
    Frequency of medication97 (90)99 (95)53 (80)p = 0.005
Information usually missing (or inadequate) from both types of discharge document
    Allergy status given88 (81)1 (1)0NS
    Need for compliance aid5 (5)0NS
    Complete documentation of changes in medication98 (91)35 (33)24 (36)NS
  • Data are number (percentages) of records containing information items.

  • *TTO, “To take out” form given to patients at the time of hospital discharge.