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Metrics details. Sharing information about hospital care with primary care in the form of a discharge summary is essential to patient safety. Mixed methods study in West Midlands, England with three parts: 1. GPs commenting on the reasons for their letter assessment, and 3. Letters were examined using content analysis; we coded 15 features e. Free text comments were analysed using corpus linguistics, and survey data were analysed using descriptive statistics. Fifty-three GPs participated in selecting discharge letters; 46 clinicians responded to the hospital survey. Analysis of GP comments highlighted that the overall clarity of discharge letters is important for effective and safe care transitions and that they should be relevant, concise, and comprehensible. The failure to uniformly implement national discharge letter guidance into practice is continuing to contribute to unsuccessful communication between hospital and general practice.
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