Harrison James D, Boscardin W John, Maselli Judith, Auerbach Andrew D
Division of Hospital Medicine, University of California, San Francisco, CA, USA.
Department of Epidemiology & Biostatistics, University of California, San Francisco, CA, USA.
J Patient Exp. 2020 Dec;7(6):1144-1150. doi: 10.1177/2374373519895100. Epub 2020 Jan 12.
Limited data exist describing how hospital discharge readiness checklists might be incorporated into care. To evaluate how assessing patient readiness for discharge effects discharge outcomes. We assessed hospitalized adults' readiness for discharge daily using a checklist. In the first feedback period, readiness data were given to patients, compared to the second feedback period, where data were given to patients and physicians. In the first feedback period, 163 patients completed 296 checklists, and in the second feedback period, 179 patients completed 371 checklists. In the first feedback period, 889 discharge barriers were identified, and 1154 in the second feedback period ( = .27). We found no association between the mean number of discharge barriers by hospital day and whether data were provided to physicians ( = .39). Eighty-nine physicians completed our survey, with 76 (85%) recalling receiving checklist data. Twenty-three (30%) of these thought the data helpful, and 45 (59%) stated it "never" or "rarely" highlighted anything new. Patients continued to report discharge barriers even when physicians received patient-reported data about key discharge transition domains.
关于如何将医院出院准备情况检查表纳入护理的相关数据有限。为了评估评估患者出院准备情况对出院结果的影响。我们使用检查表每天评估住院成人的出院准备情况。在第一个反馈期，将准备情况数据提供给患者，而在第二个反馈期，数据同时提供给患者和医生。在第一个反馈期，163名患者完成了296份检查表，在第二个反馈期，179名患者完成了371份检查表。在第一个反馈期，识别出889个出院障碍，在第二个反馈期为1154个（P = 0.27）。我们发现按住院天数计算的出院障碍平均数量与是否向医生提供数据之间没有关联（P = 0.39）。89名医生完成了我们的调查，其中76名（85%）回忆收到了检查表数据。其中23名（30%）认为这些数据有帮助，45名（59%）表示这些数据“从未”或“很少”突出任何新内容。即使医生收到了患者报告的关于关键出院过渡领域的数据，患者仍继续报告出院障碍。
