Demystifying discharge: Assessing discharge readiness to predict day of discharge

Patel, Hemali; Mourad, Michelle

doi:10.1002/jhm.2445

Cited by 6 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple factors may contribute to adverse events after discharge, including an overwhelming quantity of information received by patients on their final hospitalization day as well as fragmented and inconsistent communication [ 17 ]. A growing body of literature suggests that to ensure patient understanding, satisfaction and safety, discharge planning should start at the time of admission [ 21 ]. Ineffective planning for discharge may result in confusion experienced by patients and their families, coping difficulties, and an increased readmission rate [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of readiness to discharge from hospital on adherence to treatment in patients after myocardial infarction

et al. 2022

View full text Add to dashboard Cite

Background:The healthcare professionals involved in in-hospital treatment of myocardial infarction (MI) are also responsible to patients for their education before leaving the hospital.This education aims to modify patient behaviour in order to reduce relevant risk factors and improve self-control and adherence to medications. The aim of the study was to analyse the relationship between readiness for discharge from hospital and adherence to treatment at follow-up in MI patients. Methods: An observational, single-center, MI cohort study with 6-month follow-up was conducted between May 2015 and July 2016. The Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD-MIS) and the Adherence in Chronic Diseases Scale (ACDS) were applied.Results: Two hundred and thirteen patients aged 30-91 years (62.91 ± 11.26) were enrolled in the study. The RHD-MIS general score ranged from 29 to 69 points (51.16 ± 9.87). A high level of readiness was found in 66 patients (31%), intermediate in 92 (43.2%), and low in 55 (25.8%) of patients. Adherence level assessed with the ACDS 6-months after discharge from hospital ranged from 7 to 28 points (23.34 ± 4.06). An increase in objective assessment of patient knowledge according to RHD-MIS subscale resulted in significantly higher level of adherence at the follow-up visit (p = 0.0154); R Spearman = 0.16671, p = 0.015; p for trend = 0.005. During the 6-month follow-up 3 (1.41%) patients died and 17 (7.98%) were hospitalized for a subsequent acute coronary syndrome. Conclusions:This study provided preliminary evidence of a long-term association between the results of assessment of readiness for discharge from hospital and adherence to treatment in patients after MI.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of readiness to discharge from hospital on adherence to treatment in patients after myocardial infarction

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Therefore, extensive in-hospital education should be a standard of care in patients with ACS [4,5]. To ensure patient understanding, satisfaction and safety, discharge planning, including the assessment of patients' readiness for discharge, should be applied [6][7][8]. Such an evaluation allows a personalized definition of needs for additional educational intervention [9].…”

Section: Introductionmentioning

confidence: 99%

Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome

Kubica

2019

Medical Research Journal

View full text Add to dashboard Cite

Effective patients' preparation for discharge is expected to improve adherence to long-term treatment and functioning in chronic faze of coronary artery disease-ameliorating clinical outcome. This paper is aimed to introduce the strategy of comprehensive post-ACS in-hospital patients' evaluation regarding readiness for hospital discharge, as well as a post-discharge assessment of adherence to pharmacological treatment and functioning in the chronic phase of the coronary artery. A system of diagnostic tools allowing assessment of patients during hospitalization and after discharge has been developed. The Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD-MIS) was designed for in-hospital evaluation, while the Adherence in Chronic Diseases Scale (ACDS) and the Functioning in Chronic Illness Scale (FCIS) for examination during follow-up visits. They are expected to reflect the effectiveness of different aspects of patient-medical staff collaboration. Use of questionnaires seems to be a method of choice for this purpose because of the simplicity, easiness of their application, and low cost. Self-reported questionnaires allow comprehensive in-hospital and post-discharge assessment of patients after ACS.

show abstract

“…Recent research has offered convincing evidence that discharge readiness is associated with readmission likelihood, and even mortality (Coffey & McCarthy, 2013;Mixon et al, 2016;Weiss et al, 2007). To ensure safe discharge, patients' readiness for discharge must be assessed accurately (Patel & Mourad, 2015). A patient's readiness for discharge is decided by the medical team based on various clinical criteria.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form

et al. 2017

View full text Add to dashboard Cite

If readiness for hospital discharge scale/short form is valid and reliable, patients who are unready for discharge can be determined with this scale. Thus, nurse managers can determine what kind of measures should be taken for patients who are not ready for discharge, can control nursing practices related to these patients and can provide cooperation between the nurses and other health professionals.

show abstract

Demystifying discharge: Assessing discharge readiness to predict day of discharge

Cited by 6 publications

References 9 publications

The impact of readiness to discharge from hospital on adherence to treatment in patients after myocardial infarction

The impact of readiness to discharge from hospital on adherence to treatment in patients after myocardial infarction

Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome

Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form

Contact Info

Product

Resources

About