Warring Carrie D, Pinkney Jacqueline R, Delvo-Favre Elaine D, Rener Michelle Robinson, Lyon Jennifer A, Jax Betty, Alexaitis Irene, Cassel Kari, Ealy Kacy, Hagen Melanie Gross, Wright Erin M, Chang Myron, Radhakrishnan Nila S, Leverence Robert R
J Healthc Qual. 2018 Sep/Oct;40(5):247-255. doi: 10.1097/JHQ.0000000000000116.
Limited health literacy is a common but often unrecognized problem associated with poor health outcomes. Well-validated screening tools are available to identify and provide the opportunity to intervene for at-risk patients in a resource-efficient manner. This is a multimethod study describing the implementation of a hospital-wide routine health literacy assessment at an academic medical center initiated by nurses in April 2014 and applied to all adult inpatients. Results were documented in the electronic health record, which then generated care plans and alerts for patients who screened positive. A nursing survey showed good ease of use and adequate patient acceptance of the screening process. Six months after hospital-wide implementation, retrospective chart abstraction of 1,455 patients showed that 84% were screened. We conclude that a routine health literacy assessment can be feasibly and successfully implemented into the nursing workflow and electronic health record of a major academic medical center.
健康素养有限是一个常见但往往未被认识到的问题，与不良健康结果相关。有经过充分验证的筛查工具可用于识别有风险的患者，并为以资源高效的方式对其进行干预提供机会。这是一项多方法研究，描述了2014年4月由护士发起并应用于所有成年住院患者的学术医疗中心全医院常规健康素养评估的实施情况。结果记录在电子健康记录中，然后为筛查呈阳性的患者生成护理计划和警报。一项护理调查显示，该筛查过程使用方便且患者接受度良好。在全医院实施六个月后，对1455名患者进行的回顾性病历摘要显示，84%的患者接受了筛查。我们得出结论，常规健康素养评估可以切实可行且成功地纳入大型学术医疗中心的护理工作流程和电子健康记录中。
