Hosp Case Manag. 2012 May;20(5):70, 75.
By re-engineering its discharge process, North Broward Medical Center in Deerfield Beach, FL, reduced the number of readmissions within 30 days from 29% to 15%. A multidisciplinary team determined that many patients were readmitted because they didn't understand their disease or why they should follow their treatment plan. All clinicians were taught the teach-back method and now encourage patients to ask questions about their condition and treatment plan. The night shift nurses go over the discharge plan the night before patients are discharged and make sure the patients have everything they need, such as food and support, at home. Case managers and pharmacists call patients after discharge to ensure they have a follow-up appointment and answer questions about their treatment plan.
通过重新设计其出院流程，位于佛罗里达州迪尔菲尔德海滩的北布劳沃德医疗中心将30天内的再入院率从29%降至15%。一个多学科团队确定，许多患者再次入院是因为他们不了解自己的疾病或不明白为何要遵循治疗方案。所有临床医生都接受了反馈教学法培训，现在鼓励患者就自身病情和治疗方案提问。夜班护士会在患者出院前一晚仔细讲解出院计划，并确保患者在家中拥有所需的一切，比如食物和支持。病例管理员和药剂师在患者出院后致电，确保他们有后续预约，并解答有关治疗方案的问题。
