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A randomised controlled video vignette study on the effect different timing and lengths of discharge summaries have on the ability of general practitioners to identify ongoing problems in patients recently discharged from the hospital.

A randomised controlled video vignette study on the effect different timing and lengths of discharge summaries have on the ability of general practitioners to identify ongoing problems in patients recently discharged from the hospital.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614000403639
Acronym
Discharge Summary
Enrollment
40
Registered
2014-04-14
Start date
2012-06-01
Completion date
2013-09-02
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

General practitioners (GPs) were randomised into four groups. Each viewed a video monologue of an actor-patient as he might present to his GP following a hospital admission with ten problems. GPs were provided with a medical record as well as a long or short discharge letter, which was available at time of viewing the video or one week later. GPs indicated if they would prescribe, refer, or order tests for the patient’s problems.A short or long hospital discharge summary enumerating the patient’s problems. Intervention: Discharge summary available at time of consultation or a week later. To determine the relationship between the timing and length of hospital discharge letters and the identification of ongoing patient problems by GPs Number of ongoing patient problems identified for management by the GPs.

Interventions

All GPs commenced the study by viewing a five-minute video-recording of a monologue by an actor-patient as he might present to a GP after leaving the hospital. This was viewed online at the GPs’ own location. The actor described his ideas, concerns, and expectations about his current health. The issues described were drawn from the cases of several anonymous patients who were under the recent care of a general surgeon. The video was supplemented with case notes of medical, family, and drug histo

All GPs commenced the study by viewing a five-minute video-recording of a monologue by an actor-patient as he might present to a GP after leaving the hospital. This was viewed online at the GPs’ own location. The actor described his ideas, concerns, and expectations about his current health. The issues described were drawn from the cases of several anonymous patients who were under the recent care of a general surgeon. The video was supplemented with case notes of medical, family, and drug history, which were provided to all GPs at the time of viewing the video. To optimise face validity, the monologue and case notes were reviewed by researcher-clinicians, including a surgeon, two GPs, and a pharmacist. GPs assigned to groups A and C received a discharge letter at the time of viewing the video, while groups B and D received this letter one week later.

Sponsors

curtin University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

General practitioners or registrars working in Australia

Exclusion criteria

Non-general practitioners

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 7, 2026