Table 1.

Audit scoring criteria for Health Information and Quality Authority discharge summary components

Patient details 1.1–1.6	YES=correct patient demographic details communicated on discharge	NO=not present/incorrect
	This is cross-checked with the patient's front chart extracted from the Patient Management System
Discharge destination address 1.7	YES=correct destination address communicated on discharge. N/A=discharged home	NO=not present/incorrect
	This is cross-checked with the last entry in the nurse's notes and patient medical notes
Date of discharge 3.6	YES=date of discharge present and correct	NO=not present/incorrect
	Date is cross-checked with the Patient Management System
Medication on discharge 5.1	YES=all elements of patient medication fully communicated on discharge. NO=medication not fully communicated on discharge (any of the following not communicated correctly)
	Generic name Dose Frequency Duration of treatment—stop date for medication prescribed for a short course/repeat if continuing medication after discharge Changes communicated on discharge summary* Indication/reason for each new med* Rationale for change to admission medication*
	Preadmission medications are cross-checked in the pharmacist admission note/TEAMS/non-pharmacist admission notes
	New medication are cross-checked in the patient's drug chart
Particulars relating to the person(s) completing the discharge summary 7.1–7.5	YES=forename, surname, contact number, job title and professional body registration number of person(s) completing discharge summary on discharge. NO=not present
	No check was made for accuracy
7.11–7.12	YES=discharging consultant's name and discharging speciality communicated on summary	NO=not present
	Discharge speciality was cross-checked against the consultant speciality list

*Where applicable.