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- Comprehensive discharge planning is one element of a strategy that can help prevent readmissions. Although there are currently no standardized rules or regulations, patient safety and clinical outcomes remain the primary goals of discharge planning.
www.ncbi.nlm.nih.gov/books/NBK557819/
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Apr 3, 2023 · Comprehensive discharge planning is one element of a strategy that can help prevent readmissions. Although there are currently no standardized rules or regulations, patient safety and clinical outcomes remain the primary goals of discharge planning.
- Paula R. Patel, Samuel Bechmann
- 2023/04/03
Educate the patient and family in plain language about the patient’s condition, the discharge process, and next steps throughout the hospital stay. Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s care to the patient and family and use teach back.
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Overview of the IDEAL Discharge Planning strategy. The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition from hospital to home, with the goal of reducing adverse events and preventable readmissions.
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The articles in this issue point to a patient-centered approach to discharge planning using an evidence-based framework that localizes evidence to context for implementation, supported by formalized context analysis, facilitation and impact measurement.
- Background
- Identifying Risk Factors For Poor Transitions
- Improvements in Discharge Planning and Transitions of Care
- References
Transitions of care refer to the movement of patients between different healthcare settings such as from an ambulance to the emergency department, an intensive care unit to a medical ward, and the hospital to home. The transition from hospital to home can be challenging as patients and families become responsible for care coordination. Hospital dis...
In one seminal study, patients who understood their post-discharge plan had a lower rate of subsequent hospital utilization (ED visits or hospitalizations) than those who did not.9 Challenges to understanding discharge instructions include patients’ lack of physical or emotional readiness to learn and the fact that family members or patient caregiv...
Discharge education should be provided throughout the hospitalization and then understanding confirmed on the day of discharge. There are tools available to help facilitate discharge education such as “teach-back” which assesses the key learner’s understanding of the discharge instructions.15 Another strategy is to incorporate a discharge checklist...
Agency for Healthcare Research and Quality. Readmissions and Adverse Events After Discharge. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-dischargeGreenwald JL, Denham CR, Jack BW. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process. J Patient Saf. 2007;(3):97-106.HSAG Coordination Toolkit. Care Coordination Best Practices Toolkit: an overview of care coordination best practices to avert hospital readmission. Accessed April 12, 2024. [Free full text]Gabriel S, Gaddis J, Mariga NN, et al. Use of a daily discharge goals checklist for timely discharge and patient satisfaction. MedSurg Nursing. 2017;(4):236.These preliminary theories will represent an important step towards recommendations for decision-makers and clinicians on how to best design and implement discharge planning interventions for older adults hospitalized following a fall.
1 day ago · Additionally, a comprehensive summary should be sent to the GP, primary care providers, and other involved specialists within 48 hours. For planned surgery patients this should include: Postoperative thromboembolism prevention plan. Medicines on discharge including duration and plan for restarting paused medications.
