When a patient is discharged from the hospital the attending physician dictates ?

When a patient is discharged from the hospital, the attending physician typically dictates a discharge summary. A discharge summary is a comprehensive document that includes details about the patient's hospital stay, the reason for admission, the diagnoses, treatments given, the patient's response to treatment, and the status of the patient at the time of discharge. The summary will also usually contain recommendations for post-hospital care, including medications, follow-up appointments, therapy needs, lifestyle changes, and any other instructions that might help the patient in their recovery process after leaving the hospital.

The dictated discharge summary is frequently transcribed by a medical transcriptionist or documented within the hospital's electronic health record system. Once complete, it becomes a part of the patient's medical record and is useful for communicating the patient's hospital course to other healthcare professionals who will be involved in follow-up care, such as general practitioners, specialists, or home health care nurses.