• Daniel Brooks Reid, Shaun R Parsons, Stephen D Gill, and Andrew J Hughes.
• Deakin University, School of Medicine, 75 Pigdons Road, Waurn Ponds, Vic. 3216, Australia. Email:
• Aust Health Rev. 2015 Apr 1; 39 (2): 197-201.

ObjectiveTo audit written medical discharge summary procedure and practice against Standard Six (clinical handover) of the Australian National Safety and Quality Health Service Standards at a major regional Victorian health service.MethodsDepartment heads were invited to complete a questionnaire about departmental discharge summary practices.ResultsTwenty-seven (82%) department heads completed the questionnaire. Seven (26%) departments had a documented discharge summary procedure. Fourteen (52%) departments monitored discharge summary completion and 13 (48%) departments monitored the timeliness of completion. Seven (26%) departments informed the patient of the content of the discharge summary and six (22%) departments provided the patient with a copy. Seven (26%) departments provided training for staff members on how to complete discharge summaries. Completing discharge summaries was usually delegated to the medical intern.ConclusionsThe introduction of the National Service Standards prompted an organisation-wide audit of discharge summary practices against the external criterion. There was substantial variation in the organisation's practices. The Standards and the current audit results highlight an opportunity for the organisation to enhance and standardise discharge summary practices and improve communication with general practice.

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