Patient Understanding of Emergency Department Discharge Instructions

Logan, Peter; Schwab, Robert; Salomone, Joseph A.; Watson, Wendy

doi:10.1097/00007611-199608000-00003

Cited by 58 publications

(31 citation statements)

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“…Because patients typically misunderstand or fail to recall accurately half or more of medical information given to them, [1][2][3][4][5][6][7][8][9][10]15 it is critical that patient understanding be assessed. Simply asking patients whether they understand or have any questions does not seem to be sufficient.…”

Section: Discussionmentioning

confidence: 99%

“…9 In another study, patients were asked immediately after discharge from the emergency department about diagnosis and treatment recommendations; although 79% of patients gave the correct diagnosis, correct treatment information was given by only 49% of patients. 10 There is a high cost for inadequate understanding of medical information for the patient, the physician, and society as a whole. For patients, misunderstanding can lead to a lack of adherence to treatment recommendations with concomitant adverse health outcomes, as well as decreased satisfaction with the clinician and the medical encounter.…”

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confidence: 99%

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Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding of Medical Information

Kemp¹,

Floyd²,

McCord-Duncan³

et al. 2008

The Journal of the American Board of Family Medicine

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Purpose: The goal of this study was to determine which approach to assessing understanding of medical information patients most prefer and perceive to be most effective.Methods: Two videos were shown to participants: (1) a physician explaining a medical condition and its treatment and (2) a physician inquiring about patient understanding of the medical information the patient had been given using There is considerable evidence that many patients leave medical encounters with a poor understanding of their disease and the recommended treatment. Hewson 1 found that, when patients were asked to explain what had been told them, their explanations included so many gaps and errors that half of the information they had been given was lost. Several early studies substantiated poor understanding of medical information, with reports of lost information ranging from 46% to 63%. 2-7More recently, a study of 20 general practices in England reported that misunderstandings associated with actual or potential adverse outcomes occurred in 80% of consultations.8 A study of patient retention of information given during consent for mammoplasty found that patients were able to recollect on average 3 of 12 pieces of the information given them, or only 25%. 9 In another study, patients were asked immediately after discharge from the emergency department about diagnosis and treatment recommendations; although 79% of patients gave the correct diagnosis, correct treatment information was given by only 49% of patients.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding of Medical Information

Kemp¹,

Floyd²,

McCord-Duncan³

et al. 2008

The Journal of the American Board of Family Medicine

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show abstract

“…52 A similar study found that only 72% of ED patients interviewed said they could read their discharge instructions. 53 In a pediatric ED, it was found that several of the written instruction forms were above many parents' reading levels. 54 Physicians also significantly overestimate their patients' understanding of discharge treatment instructions.…”

Section: Considerations For Instructional Materialsmentioning

confidence: 99%

Patient Education in the Emergency Department

Wei

Camargo

2000

Academic Emergency Medicine

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Abstract. The emergency department (ED) visit provides an opportunity for patient education. Many ED patients have poor access to regular health care, including patient education. Accreditation standards, legal considerations, and cost-efficiency concerns encourage the clinician to implement formal patient education in the ED. More importantly, published clinical studies evaluating patient education in both the ED and comparable settings support the hypothesis that ED-based patient education improves outcomes. The article discusses considerations for instructional material, highlights challenges to ED-based patient education, and suggests possibilities for future research.

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“…[17][18][19][20][21][22] Junior emergency department staV may be less likely to provide adequate discharge instruction, both verbal and written. 4 The structured nature of pre-formatted instruction sheets may assist junior staV by prompting them to address all relevant components of the post-emergency department management that may otherwise go neglected. 13 The main drawback of these sheets is the time required for generation.…”

Section: Types Of Written Emergency Department Discharge Instructionsmentioning

confidence: 99%

Discharge instructions for emergency department patients: what should we provide?

Taylor

Cameron

2000

Emergency Medicine Journal

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EVective communication between the physician and patient is required for optimum post-emergency department management. Written emergency department discharge instructions, when used to complement verbal instructions, have been shown to improve communication and patient management. This review examines the purpose, advantages, and disadvantages of three commonly used types of discharge instruction. The desirable features of discharge instructions are described. It is recommended that structured, pre-formatted instruction sheets be provided to all patients discharged to home, that emergency departments establish uniform policies to promote best practice in communication, and that the use of discharge instructions be considered as an emergency department performance indicator. (J Accid Emerg Med 2000;17:86-90)

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Patient Understanding of Emergency Department Discharge Instructions

Cited by 58 publications

References 0 publications

Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding of Medical Information

Patients Prefer the Method of "Tell Back- Collaborative Inquiry" to Assess Understanding of Medical Information

Patient Education in the Emergency Department

Discharge instructions for emergency department patients: what should we provide?

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