Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

Galen, Louise Sandra van; Brabrand, Mikkel; Cooksley, Tim; Ven, Peter M. van de; Merten, Hanneke; So, Ralph K. L.; Hooff, Loes van; Haak, Harm R.; Kidney, Rachel; Nickel, Christian H.; Soong, John; Weichert, Immo; Kramer, Mark H. H.; Subbe, Christian P; Nanayakkara, Prabath W.B.

doi:10.1136/bmjqs-2017-006645

Cited by 36 publications

(32 citation statements)

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“…Rarely have patient perspectives been examined prior to index discharge. While patient perspectives on discharge readiness have recently been examined after discharge in a single study set in European hospital settings,27 patient-reported prediction of 30-day readmissions, a potentially sensitive, specific and easily obtained measure at the time of index admission, has been absent from any patient experience surveys. Engaging patients in an assessment of communication quality, unmet needs, concerns and overall experience during an admission may help to identify issues that might not be captured in standard postdischarge surveys, when the appropriate time for quality improvement interventions has passed.…”

Section: Introductionmentioning

confidence: 99%

The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study

et al. 2017

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Section: Introductionmentioning

confidence: 99%

The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study

et al. 2017

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“…To our knowledge, this is the first study showing the perspectives of patients and providers on the role of medication in readmissions. Previous studies have described the perspectives of patients and providers on the preventability of all‐cause readmissions . A recent European study investigated the opinions of all‐cause readmitted patients, their carers, nurses and physicians on predictability and preventability .…”

Section: Discussionmentioning

confidence: 99%

Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge

Uitvlugt

Janssen

Siegert

et al. 2019

Health Expectations

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Background: Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients' perspectives on the medication relatedness and potential preventability of their readmissions. Objective:To compare the patients' perspectives on the medication relatedness and potential preventability of their readmissions with the providers' perspectives. Methods:Patients unplanned readmitted within 30 days after discharge at one of the participating departments of OLVG Hospital in Amsterdam were interviewed during their readmission. Patients' perspectives regarding medication relatedness of their readmissions, the potential preventability, possible preventable interventions, and satisfaction with medication information were examined. Health-care providers also reviewed files of these readmitted patients. Primary outcome was the percentage of medication-related and potentially preventable readmissions according to the patient vs the provider. Descriptive data analysis was used.Results: According to patients, 36 of 172 (21%) readmissions were medication-related, and of these, 21 (58%) were potentially preventable. According to providers, 26 (15%) readmissions were medication-related and 6 (23%) of these were potentially preventable. Patients and providers agreed on the medication relatedness in 11 of the 172 readmissions, and in two of these, agreement on the potential preventability existed. According to patients, preventive interventions belonged mostly to the hospital level, followed by the primary care level and patient level. Conclusion:Patients and providers differ substantially on their perspectives regarding the medication relatedness and preventability of readmissions. Patients were more likely to view medication-related readmissions as preventable. | 213UITVLUGT eT aL.

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“…In a prospective observational study conducted in 15 hospitals in four European countries, a readmitted patient reported not feeling ready for discharge at index admission. The authors concluded that healthcare workers should question patients' readiness to go home [11]. For quality improvement of the hospital discharge procedure as well as for research purposes, clinicians need appropriate, reliable, and valid survey instruments to measure the patients' readiness for discharge.…”

Section: Discussionmentioning

confidence: 99%

The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire

Buszko

Kosobucka²,

Michalski³

et al. 2017

Medical Research Journal

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The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire ABSTRACT Introduction. Medical care providers are responsible for adequate preparation of patients for discharge from the hospital. The purpose of this study was to validate a new self-reported questionnaire assessing the readiness of patients for hospital discharge. The scoring less than 44 points for the entire questionnaire indicates low readiness, obtaining between 44 and 57 points indicates medium readiness, and scores over 57 points are classified as high readiness for discharge from hospital.Conclusions. The validation procedure revealed that RHD MIS is a reliable and homogeneous tool to measure the readiness of patients for hospital discharge. The set of items divided into three subscales allows subjective and objective evaluation of the patient's knowledge and expectations. Further investigation is needed to assess the potential impact of RHD MIS scoring on long-term outcome.

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Patients’ and providers’ perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries

Cited by 36 publications

References 36 publications

The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study

The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study

Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge

The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire

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