Dream Factory by TruBridge Ideas Portal
Discharge summaries are required to list discharge orders; our providers are forced to manually enter these. Additionally, Notes could be used for d/c instructions if d/c orders would pull in. The current workaround is for the unit secretary to print out order chronology to have a list to go by and to manually transcribe these into the d/c flowchart. This creates paper waste, room for error, and extra work.
Thank you for your feedback. A "non-medication orders" filter is in development for Notes.
Discharge Instructions: The issue with the flowchart discharge instructions when populated from order entry is that that are terribly formatted, not cleanly categorized, and not user friendly. Additionally, if a provider places any d/c orders outside of the coded orders from an order set, the patient may not receive those instructions.
Discharge Summary: These are required provider-created Notes, and providers are constantly forced to manually list their discharge orders in the note -- essentially they enter them as orders then enter them again in the discharge summary. If they could enter them once as orders, and those orders could populate both a discharge summary and discharge instructions via filter, it would be a win-win.
Note on current functionality: Discharge orders may be marked to "Print to the Discharge Instructions" in the setup of the Nursing Order. These orders may also be pulled into an Order Set to indicate (via Header) which orders will print to the patient document. This eliminates the need for re-entering in a flowchart.
I would add that an alternative solution would be for the provider to place orders from Notes.