• Martin C Were, Xiaochun Li, Joe Kesterson, Jason Cadwallader, Chite Asirwa, Babar Khan, and Marc B Rosenman.
• Indiana University School of Medicine, 410 West 10th Street, Suite 2000, Indianapolis, IN 46202-3012, USA. mwere@regenstrief.org
• J Gen Intern Med. 2009 Sep 1;24(9):1002-6.

BackgroundPoor communication of tests whose results are pending at hospital discharge can lead to medical errors.ObjectiveTo determine the adequacy with which hospital discharge summaries document tests with pending results and the appropriate follow-up providers.DesignRetrospective study of a randomly selected samplePatientsSix hundred ninety-six patients discharged from two large academic medical centers, who had test results identified as pending at discharge through queries of electronic medical records.Intervention And MeasurementsEach patient's discharge summary was reviewed to identify whether information about pending tests and follow-up providers was mentioned. Factors associated with documentation were explored using clustered multivariable regression models.Main ResultsDischarge summaries were available for 99.2% of 668 patients whose data were analyzed. These summaries mentioned only 16% of tests with pending results (482 of 2,927). Even though all study patients had tests with pending results, only 25% of discharge summaries mentioned any pending tests, with 13% documenting all pending tests. The documentation rate for pending tests was not associated with level of experience of the provider preparing the summary, patient's age or race, length of hospitalization, or duration it took for results to return. Follow-up providers' information was documented in 67% of summaries.ConclusionDischarge summaries are grossly inadequate at documenting both tests with pending results and the appropriate follow-up providers.

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