Vanderbilt University, 461 21st Avenue South, Nashville, TN 37240, USA.
Nurs Clin North Am. 2021 Sep;56(3):369-378. doi: 10.1016/j.cnur.2021.04.004. Epub 2021 Jul 14.
Major risks associated with inadequate discharge preparation and execution include medication errors, adverse drug events, and hospital readmissions. Nurses must develop pertinent skills to assess how the social environment impacts patients' likelihood of a safe and healthy transition back into the community as they prepare patients for discharge. Recognition and consideration of social determinants of health are critical to minimizing health disparities, enhancing health equity and supporting positive patient outcomes. Examples of strategies for enhanced discharge practices include implicit bias assessment and training, screening for food insecurity, and assessment for quality referral sources.
与出院准备和执行不充分相关的主要风险包括用药错误、药物不良事件和医院再入院。护士必须培养相关技能,评估社会环境如何影响患者安全、健康回归社区的可能性,从而为患者出院做准备。认识和考虑健康的社会决定因素对于最大限度地减少健康差距、增强健康公平性和支持积极的患者结果至关重要。增强出院实践的策略示例包括隐性偏见评估和培训、食物不安全筛查以及质量转诊资源评估。