<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6797</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Medicina Interna ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Urug. Med. Int.]]></abbrev-journal-title>
<issn>2393-6797</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-67972025000101305</article-id>
<article-id pub-id-type="doi">10.26445/10.01.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio de la calidad del resumen de alta en Medicina Interna]]></article-title>
<article-title xml:lang="en"><![CDATA[Study of the quality of discharge summary in an Internal Medicine]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estudo da qualidade do sumário de alta em Clínica Médica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sayas]]></surname>
<given-names><![CDATA[Romina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bruno]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaluff]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Matías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maresca]]></surname>
<given-names><![CDATA[Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villani]]></surname>
<given-names><![CDATA[Alice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garau]]></surname>
<given-names><![CDATA[Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perendones]]></surname>
<given-names><![CDATA[Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Académica Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>10</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-67972025000101305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-67972025000101305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-67972025000101305&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El alta hospitalaria es el proceso que involucra el egreso desde la internación al domicilio del paciente; su planificación anticipada contribuye a la seguridad del mismo y disminuye los reingresos hospitalarios. El pilar fundamental es el resumen de alta, documento emitido por el médico responsable de la asistencia, que resume la atención realizada. Es considerado un marcador de calidad asistencial. Si bien los componentes básicos de buena calidad están definidos, en la práctica clínica existe gran variabilidad y heterogeneidad en su confección. El objetivo del estudio fue evaluar la confección y calidad de los resúmenes de alta realizados por los médicos del Departamento de Medicina Interna del Hospital Pasteur.  Metodología:  Estudio longitudinal, prospectivo, analítico, de intervención, en dos etapas (pre y post intervención en capacitación). Un equipo de médicos entrenados evaluó la presencia/ausencia de las variables de estudio. La presencia de al menos tres de las cinco variables definía &#8220;resumen de alta de calidad ADECUADA&#8221;.  Resultados: En la etapa 1, 112/165 de los resúmenes de alta fueron de calidad adecuada (67,9%) y 17/165 contenían todas las variables (10.3%). En la etapa 2, 152/192 resúmenes de alta fueron de calidad adecuada (79,2%) y 38/192 contenían todas las variables (19.8 %). Luego de la capacitación aumentó la presencia de todas las variables, siendo significativo para las variables Lista medicación conciliada (p= 0.047) y Cuidados y recomendaciones al alta (p = 0.021).  Discusión: El estudio muestra resultados globales y por ítems similares a datos internacionales, destacando el amplio rango que algunos de ellos tienen, considerando efectiva la intervención realizada. De todas maneras, encontramos variables con bajo nivel de reporte (examen físico al alta), en los cual deberemos continuar trabajando.  Conclusión : Se trata del primer estudio nacional sobre esta temática. La capacitación sobre la confección del RA en forma estructurada dentro de la formación del médico internista es una medida fundamental tendiente a mejorar la calidad del RA.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Hospital discharge is the process involving the patient's discharge from the hospital to their home. Advance planning contributes to patient safety and reduces hospital readmissions. The fundamental pillar is the discharge summary, a document issued by the physician in charge of care, which summarizes the care provided. It is considered a marker of healthcare quality. Although the basic components of good quality are defined, in clinical practice there is great variability and heterogeneity in their preparation. The objective of this study was to evaluate the preparation and quality of discharge summaries prepared by physicians in the Department of Internal Medicine at Pasteur Hospital.  Methodology:  A longitudinal, prospective, analytical, interventional study in two stages (pre- and post-intervention during training). A team of trained physicians assessed the presence/absence of the study variables. The presence of at least three of the five variables defined a "satisfactory quality discharge summary."  Results:  In phase 1, 112/165 discharge summaries were of adequate quality (67.9%), and 17/165 contained all variables (10.3%). In phase 2, 152/192 discharge summaries were of adequate quality (79.2%), and 38/192 contained all variables (19.8%). After training, the presence of all variables increased, with significant increases for the variables Reconciled Medication List (p = 0.047) and Care and Recommendations at Discharge (p = 0.021).  Discussion:  The study shows overall and item-specific results similar to international data, highlighting the wide range of results found in some of them, which is considered effective. However, we found variables with low reporting rates (physical examination at discharge), which require further work.  Conclusion:  This is the first national study on this topic. Structured training on the preparation of the RA within the training of internists is a fundamental measure aimed at improving the quality of the RA.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A alta hospitalar é o processo que envolve a alta do paciente do hospital para o domicílio. O planejamento antecipado contribui para a segurança do paciente e reduz as readmissões hospitalares. O pilar fundamental é o resumo de alta, documento emitido pelo médico responsável pelo atendimento, que resume o atendimento prestado. É considerado um indicador da qualidade da assistência à saúde. Embora os componentes básicos de uma boa qualidade sejam definidos, na prática clínica há grande variabilidade e heterogeneidade em sua elaboração. O objetivo deste estudo foi avaliar a elaboração e a qualidade dos resumos de alta elaborados por médicos do Departamento de Clínica Médica do Hospital Pasteur.  Metodologia: Estudo longitudinal, prospectivo, analítico e intervencionista, realizado em duas etapas (pré e pós-intervenção durante o treinamento). Uma equipe de médicos treinados avaliou a presença/ausência das variáveis &#8203;&#8203;do estudo. A presença de pelo menos três das cinco variáveis &#8203;&#8203;definiu um "resumo de alta de qualidade satisfatória&#8221;  Resultados: Na fase 1, 112/165 resumos de alta apresentaram qualidade adequada (67,9%) e 17/165 continham todas as variáveis &#8203;&#8203;(10,3%). Na fase 2, 152/192 resumos de alta apresentaram qualidade adequada (79,2%) e 38/192 continham todas as variáveis &#8203;&#8203;(19,8%). Após o treinamento, a presença de todas as variáveis &#8203;&#8203;aumentou, com aumentos significativos para as variáveis &#8203;&#8203;Lista de Medicamentos Reconciliada (p = 0,047) e Cuidados e Recomendações na Alta (p = 0,021).  Discussão:  O estudo apresenta resultados gerais e específicos por item semelhantes aos dados internacionais, destacando a ampla gama de resultados encontrados em alguns deles, o que é considerado eficaz. No entanto, encontramos variáveis &#8203;&#8203;com baixas taxas de notificação (exame físico na alta), o que requer mais estudos.  Conclusão:  Este é o primeiro estudo nacional sobre o tema. Treinamento estruturado sobre a preparação do AR, dentro da formação de médicos internistas, é uma medida fundamental para a melhoria da qualidade do AR.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[resumen de alta]]></kwd>
<kwd lng="es"><![CDATA[calidad]]></kwd>
<kwd lng="es"><![CDATA[servicio medicina interna]]></kwd>
<kwd lng="en"><![CDATA[discharge summary]]></kwd>
<kwd lng="en"><![CDATA[quality]]></kwd>
<kwd lng="en"><![CDATA[internal medicine service]]></kwd>
<kwd lng="pt"><![CDATA[resumo de alta]]></kwd>
<kwd lng="pt"><![CDATA[qualidade]]></kwd>
<kwd lng="pt"><![CDATA[serviço de medicina interna]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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