Improving discharge planning communication between hospitals and patients

New, Peter W; McDougall, Karen E.; Scroggie, C. P. R.

doi:10.1111/imj.12919

Cited by 16 publications

(16 citation statements)

References 18 publications

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“…Discharge summaries and discharge letters often miss substantial and essential patient information [ 32 ] few data is passed over for the healthcare continuum. Previous studies found that proposed discharge date and destination collection from patients with interdisciplinary collaboration teams, raised the perceptions of patients’ awareness of discharge plans, prevented unnecessary delays in discharge, and provided physicians about alternative destinations regarding older patients’ preferences [ 33 ]. Another aspect to consider in Korea, is to utilize nursing communication.…”

Section: Discussionmentioning

confidence: 99%

A focus group interview with health professionals: establishing efficient transition care plan for older adult patients in Korea

Park

Han

Lee

et al. 2022

BMC Health Serv Res

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Background Although transition care planning can affect the functional status and quality of life after acute hospitalization in older adults, little is known on problems associated with discharge planning in acute care hospitals in Korea. We aimed to investigate barriers and possible solutions on transfer planning of complex older patients in this study. Methods We used focus group interviews with the application of framework analysis. Twelve physicians providing inpatient care from 6 different institutions in Korea participated in the interview. Facilitating questions were extracted from 2 roundtable meetings prior to the primary interview. From transcribed verbatim, themes were constructed from corresponding remarks by participants. Results We revealed two main domains of the barrier, which included multiple subdomains for each of them. The first domain was a patient factor barrier, a composite of misperception of medical providers’ intentions, incomprehension of the healthcare system, and communication failure between the caregivers or decision-makers. The second domain, institutional factors included different fee structures across the different levels of care, high barrier to accessing health service in tertiary hospitals or to be referred to, the hardship of communication between institutions, and insufficient subacute rehabilitation service across the country. Conclusions Through the interview, physicians in the field recognized barriers to a smooth transition care process from tertiary level hospitals to community care, especially for older adults. Participants emphasized both the patients and hospital sides of adjustment on behaviors, communication, and greater attention for the individuals during the transition period.

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Section: Discussionmentioning

confidence: 99%

A focus group interview with health professionals: establishing efficient transition care plan for older adult patients in Korea

Park

Han

Lee

et al. 2022

BMC Health Serv Res

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“…Across the ED literature, effective communication continues to be a challenge for all age groups (New et al, 2016; Newnham et al, 2017) and can be compounded in the presence of functional disability or cognitive impairment (Miller et al, 2018). Yet, communication is fundamental to ensure family and patient satisfaction, safety, and person‐centred care (Considine et al, 2019; New et al, 2016; Newnham et al, 2017). This study has highlighted that family social support can assist with communication and information sharing in the ED and for discharge preparation.…”

Section: Discussionmentioning

confidence: 99%

Family members' perceptions of older person discharge from emergency departments

Fry

Elliott

Curtis

et al. 2021

Int J Older People Nursing

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Background: People aged over 64 years account for approximately 20% of adult emergency presentations, with up to 60% of people discharged home from emergency departments (EDs). Many older people discharged home are supported by family. Objectives:The objective of this study was to explore the family members' perspectives of older people's discharge from ED to inform new alternative or innovative models of care. Methods:The design was a descriptive exploratory study. A convenience sample of family members was recruited from three EDs across Sydney, New South Wales.Telephone interviews were conducted over a six-month period and data were analysed using statistics or thematic analysis.Results: Interviews were conducted with 133 family members of whom the majority were female (n = 80, 60%) with a median age of 70 years . Over 87% of family members were satisfied with ED care and discharge processes that were provided to the older person. The majority (n = 129, 97%) of family members reported

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“…Wait times were shorter in the screening group than in the usual group for all 4 categories of discharge destinations. Improving hospital patient ow is important to optimize the use of limited healthcare resources e ciently and minimize iatrogenic adverse events, and it may ensure patient-centered care [18]. A screening tool for DP would make the transition of care from the hospital to the next destination more effective.…”

Section: Discussionmentioning

confidence: 99%

An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia

Hao

Horita

et al. 2020

Preprint

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Background: Community-acquired pneumonia is one of the most common diseases in elderly persons and usually results in a prolonged hospital stay. Discharge planning plays an important role in reducing the length of hospitalization. This study was designed to determine whether early screening for risk factors for delayed discharge could improve the quality of discharge planning.Methods: This retrospective, observational study was conducted in two medical facilities from January 2016 to December 2018. Hospital A used a screening tool on admission (screening group): screening for risk factors for delayed discharge and initiating discharge planning immediately for those for whom it was applicable, and discharge planning in the stable phase for those for whom it was not applicable; and Hospital B initiated discharge planning without screening (usual group). Propensity score-matched pneumonia patients in the two groups were then compared. The primary outcome was length of hospital stay.Results: A total of 648 patients were enrolled in this study. After adjusting for age, sex, aspiration, comorbidity, pneumonia severity index, and key person, 118 pairs underwent analysis. Length of stay was significantly different (20 days vs 13 days, p<0.001) between the groups. There were no differences in duration of antibiotic treatment, in-hospital mortality, and 30-day readmission (9 days vs 9 days, p=0.744; 10 (8.5%) vs 10 (8.5%), p=1.000; 10 (8.5%) vs 9 (7.6%), p=0.811, respectively).Conclusions: Early screening for delayed discharge improved the quality of discharge planning by reducing the length of stay in pneumonia patients.

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Improving discharge planning communication between hospitals and patients

Abstract: A bedside 'Leaving Hospital Information Sheet' can potentially improve communication between patients, families and their treating team.

Cited by 16 publications

References 18 publications

A focus group interview with health professionals: establishing efficient transition care plan for older adult patients in Korea

A focus group interview with health professionals: establishing efficient transition care plan for older adult patients in Korea

Family members' perceptions of older person discharge from emergency departments

An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia

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