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skills/mohitagw15856/pm-claude-skills/discharge-summary

discharge-summary

1
mohitagw15856/pm-claude-skills·Audit passed·Snapshot 19553a3e47c5

Summary

This source did not publish a separate summary. Review SKILL.md before using the skill.

SKILL.md

Discharge Summary Skill

The discharge summary is the handoff that the next clinician (and the patient) actually relies on: why they were admitted, what happened, what changed, and what to do next. This skill structures the stay into a complete, scannable summary so nothing critical — a new medication, a pending result, a follow-up — falls through the gap.

Clinical-safety note: this is a documentation-formatting aid, not medical advice. It organises information a qualified clinician provides; the treating clinician must review and verify every detail (especially the medication list and follow-up) before it is finalised. Do not invent diagnoses, medications, doses, or results.

Working from a brief

Given the admission notes and course, produce the full summary anyway — organise what's provided into every standard section. Where a section's detail wasn't given, mark it clearly (e.g. "Pending results: none reported") rather than inventing it. Never fabricate medications, doses, or diagnoses.

Required Inputs

Ask for these only if they aren't already provided (else mark as not documented):

  • Admission — reason for admission, date, and presenting problem.
  • Hospital course — what happened during the stay: diagnoses, key events, procedures, consults, results.
  • Discharge medications — the reconciled med list (new, changed, stopped, continued).
  • Discharge status & disposition — condition at discharge and where they're going (home, facility).
  • Follow-up — appointments, pending results, and return/escalation precautions.

Output Format

Discharge Summary

  • Patient & dates — identifiers as provided; admission and discharge dates.
  • Admission diagnosis / reason for admission.
  • Discharge diagnoses — principal and secondary.
  • Hospital course — a concise narrative of the stay: presentation → workup → treatment → response, by problem.
  • Procedures / significant events — with dates.
  • Discharge medications — reconciled list, flagging new / changed / discontinued explicitly.
  • Condition at discharge & disposition.
  • Follow-up plan — appointments (who/when), pending results to chase, and clear return precautions (when to seek care).
  • Patient instructions — in plain language for the patient/carer.
  • Close with fields not documented and a clinician-review reminder.

    Quality Checks

    • Medication reconciliation is explicit — new / changed / stopped / continued are distinguished
    • Follow-up names who, when, and any pending results to chase — nothing left dangling
    • Clear return/escalation precautions are included for the patient
    • The hospital course is organised by problem, not a raw chronological dump
    • No diagnosis, medication, dose, or result is invented — gaps are marked
    • A patient-facing plain-language instruction set is included alongside the clinical summary

    Anti-Patterns

    • Do not invent medications, doses, diagnoses, or results to complete a section
    • Do not present this as medical advice — it formats clinician-provided information for handoff
    • Do not leave the medication list ambiguous about what changed during the stay
    • Do not omit pending results or follow-up ownership — that's where handoffs fail
    • Do not write patient instructions in clinical jargon the patient can't act on

    Based On

    Clinical handoff/documentation practice — structured discharge summaries with medication reconciliation, explicit follow-up, and return precautions.

    Related skills

    capacity-planningcompetitor-teardowncontext-engineering-reviewrunbook-writerreceipts-audit