Cancino Ramon S, Manasseh Chris, Kwong Lana, Mitchell Suzanne E, Martin Jessica, Jack Brian W
Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, Joe R. & Teresa Lozano Long School of Medicine, San Antonio, TX, USA.
Boston Medical Center, Boston, MA, USA.
J Patient Exp. 2017 Dec;4(4):185-190. doi: 10.1177/2374373517714454. Epub 2017 Jun 16.
Hospitalized patients are frequently unprepared to care for themselves after discharge often leading to unplanned hospital readmission. One strategy to reduce readmission rates is improving the quality of patient education and preparation before hospital discharge. The ReEngineered Discharge (RED) is a standardized hospital-based program designed to provide patients and caregivers the information they need to continue care at home.
We sought to study the impact of the RED intervention on posthospitalization adult patient experience scores in an urban academic safety-net hospital.
We conducted a descriptive study of a pilot program that compared posthospitalization survey responses to the Press Ganey survey item "Instructions were given about how to care for yourself at home." We compared the survey results for 3 groups of adult patients: those receiving the RED program, those receiving a standard discharge on the same hospital unit, and those receiving a standard discharge on other hospital units.
A greater percentage of adult patients who received the RED discharge program rated the quality of their discharge as "very good" as compared to those receiving a standard discharge on the same hospital unit and those receiving a standard discharge on other hospital units (61%, 35%, and 41%, respectively, = .0001).
Delivery of a standardized hospital discharge program resulted in a larger proportion of top-box "very good" responses on a Press Ganey posthospitalization survey. Future research should examine whether hospital-based transition programs can sustain improvement in patient experience measures and whether these improvements can be observed in other patient populations.
住院患者出院后往往没有做好自我护理的准备，这常常导致计划外的再次入院。降低再入院率的一种策略是提高出院前患者教育和准备的质量。重新设计的出院计划（RED）是一个基于医院的标准化项目，旨在为患者及其护理人员提供他们在家中继续护理所需的信息。
我们试图研究RED干预对城市学术安全网医院成年患者出院后体验评分的影响。
我们对一个试点项目进行了描述性研究，该项目比较了出院后对Press Ganey调查项目“收到了关于如何在家中自我护理的指导”的调查回复。我们比较了三组成年患者的调查结果：接受RED项目的患者、在同一医院科室接受标准出院指导的患者以及在其他医院科室接受标准出院指导的患者。
与在同一医院科室接受标准出院指导的患者和在其他医院科室接受标准出院指导的患者相比，接受RED出院计划的成年患者中，将出院质量评为“非常好”的比例更高（分别为61%、35%和41%，P = .0001）。
实施标准化的医院出院计划在Press Ganey出院后调查中获得了更大比例的顶级“非常好”回复。未来的研究应探讨基于医院的过渡项目是否能持续改善患者体验指标，以及这些改善是否能在其他患者群体中观察到。
