Patients' Understanding of Their Treatment Plans and Diagnosis at Discharge

Makaryus, Amgad N.; Friedman, Eli A.

doi:10.4065/80.8.991

Cited by 389 publications

(288 citation statements)

References 5 publications

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“…Studies have shown that patients often forget or misunderstand the information they have been given by a clinician 7,8 , and the provision of written material can increase the amount of information retained 9 . However, care must be taken not to overload a patient with information, nor provide inadequate information 10 .…”

Section: Introductionmentioning

confidence: 99%

The contents of dental implant patient information leaflets available within the UK

et al. 2015

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Purpose: Patient information leaflets are designed to provide easy to follow information summaries and first point of contact information about treatment options. This survey reviewed the content of dental implant patient information leaflets, produced by implant companies and available within the UK in 2011.Methods: Dental implant companies in the UK were asked to provide samples of their patient information leaflets. The information within the leaflets was then summarised as well as the quantity, the types of images used to illustrate the leaflets and whether the source of the information was given. Quantitative data was obtained on the amount of information provided, size of images and number of references.Results: A response rate of 71% was obtained, and 23 leaflets were studied. Great variation was found between the leaflets, with the word counts ranging from 88 to 5434, and 44 different topics were identified. The majority of the images used were decorative, and none of the leaflets gave any reference to the sources of their information. Implant treatment was generally described in a positive way, concentrating on describing the treatment and giving the advantages. Much less information was given about the potential disadvantages and risks of complications or failure, including the relevance of periodontal disease or smoking. Conclusion:Implant patient information leaflets provided by dental implant companies should not be solely relied upon to provide patients with all the information they need to give informed consent to treatment.

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Section: Introductionmentioning

confidence: 99%

The contents of dental implant patient information leaflets available within the UK

et al. 2015

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“…Among the leading reasons cited for these preventable complications are inadequate patient health literacy [6], patient lack of understanding of how to take their medications or of medication side effects, and low patient adherence to treatment regimens. The poor preparation of patients for hospital discharge is highlighted by studies showing that less than half of discharged patients know their diagnosis or the purpose of their medications [7].…”

Section: Introductionmentioning

confidence: 99%

Agent-User Concordance and Satisfaction with a Virtual Hospital Discharge Nurse

Zhou

Bickmore

Paasche‐Orlow

et al. 2014

Lecture Notes in Computer Science

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Abstract. User attitudes towards a hospital virtual nurse agent are described, as evaluated in a randomized clinical trial involving 764 hospital patients. Patients talked to the agent for an average of 29 minutes while in their hospital beds, receiving their customized hospital discharge instructions from the agent and a printed booklet. Patients reported very high levels of satisfaction with and trust in the nurse agent, preferred receiving their discharge instructions from the agent over their human doctors and nurses, and found the system very easy to use. Perceived similarity to the agent was a significant determiner of liking, trust, desire to continue, and working alliance, although perceived similarity was unrelated to racial concordance between patients and the agent.

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“…10,11 A 1999 study of 342 patients found that 54 % had inadequate knowledge of their medications 1 week after discharge; 12 other smaller studies show similar results. [13][14][15][16][17] Nonetheless, physicians grossly overestimate patient understanding. 15 No study has simultaneously evaluated medication reconciliation accuracy and patient understanding to form a comprehensive view of medication problems associated with hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Medication Reconciliation Accuracy and Patient Understanding of Intended Medication Changes on Hospital Discharge

et al. 2012

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BACKGROUND: Adverse drug events after hospital discharge are common and often serious. These events may result from provider errors or patient misunderstanding. OBJECTIVE: To determine the prevalence of medication reconciliation errors and patient misunderstanding of discharge medications. DESIGN: Prospective cohort study SUBJECTS: Patients over 64 years of age admitted with heart failure, acute coronary syndrome or pneumonia and discharged to home. MAIN MEASURES:We assessed medication reconciliation accuracy by comparing admission to discharge medication lists and reviewing charts to resolve discrepancies. Medication reconciliation changes that did not appear intentional were classified as suspected provider errors. We assessed patient understanding of intended medication changes through post-discharge interviews. Understanding was scored as full, partial or absent. We tested the association of relevance of the medication to the primary diagnosis with medication accuracy and with patient understanding, accounting for patient demographics, medical team and primary diagnosis. KEY RESULTS: A total of 377 patients were enrolled in the study. A total of 565/2534 (22.3 %) of admission medications were redosed or stopped at discharge. Of these, 137 (24.2 %) were classified as suspected provider errors. Excluding suspected errors, patients had no understanding of 142/205 (69.3 %) of redosed medications, 182/223 (81.6 %) of stopped medications, and 493 (62.0 %) of new medications. Altogether, 307 patients (81.4 %) either experienced a provider error, or had no understanding of at least one intended medication change. Providers were significantly more likely to make an error on a medication unrelated to the primary diagnosis than on a medication related to the primary diagnosis (odds ratio (OR) 4.56, 95 % confidence interval (CI) 2.65, 7.85, p<0.001). Patients were also significantly more likely to misunderstand medication changes unrelated to the primary diagnosis (OR 2.45, 95 % CI 1.68, 3.55), p<0.001). CONCLUSIONS: Medication reconciliation and patient understanding are inadequate in older patients postdischarge. Errors and misunderstandings are particularly common in medications unrelated to the primary diagnosis. Efforts to improve medication reconciliation and patient understanding should not be diseasespecific, but should be focused on the whole patient.

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Patients' Understanding of Their Treatment Plans and Diagnosis at Discharge

Cited by 389 publications

References 5 publications

The contents of dental implant patient information leaflets available within the UK

The contents of dental implant patient information leaflets available within the UK

Agent-User Concordance and Satisfaction with a Virtual Hospital Discharge Nurse

Medication Reconciliation Accuracy and Patient Understanding of Intended Medication Changes on Hospital Discharge

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