Improved Supervision and Safety of Discharges Through Formal Discharge Education.
Publication/Presentation Date
1-1-2019
Abstract
The goal of this study is to evaluate change in residents' assessment of supervision and safety of the discharge process after formal discharge instruction education. An educational lecture and workshop addressing high-risk medications, medication reconciliation, follow-up, and handoffs were provided to internal medicine residents. Residents were given a longitudinal survey before and after the discharge education session. Significant improvement in perception was demonstrated in review of discharge instructions ( P < .001), review of new medications/side effects with patients ( P < .001), and review of discharge instructions with and receiving feedback from attending physicians ( P < .001). On review of 40 discharge instructions pre and post intervention, there was an improvement in completion of instructions for high-risk medications ( P < .05 [14 insulin, 26 anticoagulation]). This intervention was viewed positively by residents; more than two thirds of all residents favored a process of formal training over the current model of "training by doing."
Volume
34
Issue
3
First Page
226
Last Page
233
ISSN
1555-824X
Published In/Presented At
Ackermann, L. L., Stewart, E. A., & Riggio, J. M. (2019). Improved Supervision and Safety of Discharges Through Formal Discharge Education. American journal of medical quality : the official journal of the American College of Medical Quality, 34(3), 226–233. https://doi.org/10.1177/1062860618794283
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30160164
Department(s)
Administration and Leadership
Document Type
Article