The Emergency Care discharge summary will ensure that when patients are discharged vital information is transferred quickly to their GP for ongoing treatment and made available to the patient.
Nearly two million people attend emergency care (EC) services each month and sharing discharge information between Emergency Care and GP practices is essential for ensuring patient safety and good ongoing treatment. This standard will better support patient care and improve information for commissioners and other secondary purposes including research, audit and service improvement.
1. Key information will be transferred directly into the GP record, reducing the risk of transcription errors and improving the quality of information.
2. Details on the emergency visit will be available more quickly to the GP practice, and the patient’s safety and overall experience will be improved.
3. Key information will be standardised, which means it will be available for secondary purposes, such as clinical audit and research.
The successful use of the PRSB Emergency Care Discharge Summary Standard depends on the quality of the data collected in emergency departments. Currently emergency department data is not of consistently good quality. The Emergency Care Data Set (ECDS) project started in February 2015 and is being implemented in 2017 to improve the quality of EC data. It therefore made sense for the EC standard work to be co-ordinated with development of the ECDS to ensure compatibility. The ECDS is aligned to the EC discharge standard. However, use of the standard depends on GP systems being able to receive the discharge, so the implementation timescales are different for each.
The standard project supports the Urgent and Emergency Care review by helping to enable improved discharge from hospital EC departments. It also builds upon the Emergency Care Data Set (ECDS) project, which earlier this year created a new data set for urgent and emergency care services.
Version 2.1 - Standard update
This standard has now been updated to version 2.1. Detailed release notes are available outlining the changes. These can be found in the supporting documents link above. The standard has been updated in-line with new PRSB digital medications information assurance.
Supporting documents for the Emergency Care discharge standard
Release Notes V2.1
The Emergency care discharge summary standard has been updated to version 2.1 (Dec 17 2019). V2.1 includes an update to:
- structured dose direction cluster
- structured dose amount
- structured dose timing and dose direction duration.
Release Notes - Emergency Care discharge V2
These release notes document any changes to the standard made in the most recent version (V2).
Information model - Emergency Care discharge
View the standard as a detailed mindmap.
Transfers or care safety case report (PDF)
The clinical safety case report sets out the work done to manage clinical safety risks associated with four PRSB transfer of care projects between hospital and general practice. These include the e-discharge summary, mental health discharge summary, emergency care (EC) discharge summary and outpatient letter standards.
Transfers of care hazard log (excel spreadsheet)
The Hazard Log records both generic and specific implementation hazards identified during the transfer of care projects. It includes associated mitigations and actions as well as guidance for system developers and implementers.
Final report - Emergency Care discharge standard
The final report outlines the process taken to reach the final standard.
Transfer of care FHIR specifications
The Emergency Care discharge standard is endorsed by the following organisations:
- ADASS - Association of Directors of Adult Social Services
- Care Providers Alliance
- Royal College of Emergency Medicine
- Royal College of General Practictioners
- Royal College of Nursing
- Royal College of Occupational Therapists
- Royal College of Physicians
- Royal College of Psychiatrists
- Royal College of Radiologists
- Royal Pharmaceutical Society
- Institute of Health Records and Information Management
- Tech UK