Abstract WP489: Evaluation of Post-discharge Callback Data from Stroke Patients and Caregivers
| Autor: | Frances Jaime, Janelle Headley, Shanequa Sostand, Anjail Sharrief, Cristina Carrillo-Gutierrez, Polina Strug, Marwah Elsehety, Kimberly Smith, Nicole Harrison, Sean I Savitz |
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| Rok vydání: | 2019 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty Critical time Stroke patient Quality assessment business.industry Post discharge Patient-centered care medicine.disease Emergency medicine medicine Hospital discharge Callback Neurology (clinical) Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | Stroke. 50 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.50.suppl_1.wp489 |
| Popis: | Background and Purpose: The early period after hospital discharge is a critical time for stroke patients during which transitions of care can be optimized. In our Comprehensive Stroke Center, patients are called within 3 days of discharge to conduct point of service feedback utilizing yes/no and open-ended questions related to the hospital stay, discharge instructions, follow-up care, and prescriptions. We sought to examine post-discharge feedback to identify areas of need. Methods: A multidisciplinary team collaborated to classify callback responses for patients discharged from 1/1/2018 to 6/30/2018 within the following domains from the Hospital Consumer Assessment of Healthcare Providers and Systems survey: care from doctors, care from nurses, hospital environment, experience in the hospital, and transitions of care. We provide a descriptive analysis (Table 1). Results: Among 700 patients discharged in the study period, 378 (54%) were discharged home and 207 (55%) of these were contacted for feedback. Eighty four (40.5%) of patients/caregivers expressed at least one concern (129 total), with the largest proportion in the transitions of care domain (67.4 %). Patients reported difficulties with prescriptions (15.5%), obtaining outpatient therapy services (13.2%) and follow-up appointments (10.9%), new or persistent clinical symptoms (8.5%), and insufficient hospital discharge education (5.4%). Approximately 5% (11/207) of all patients reported hospital readmission during the call. Conclusions: This study reveals that stroke patients and caregivers identify transitional care as an area for improvement following discharge from a CSC. Interventions aimed at facilitating care from hospital to home after stroke are warranted, and we are implementing patient-centered initiatives to enhance the discharge process and provide additional support early after stroke discharge. |
| Databáze: | OpenAIRE |
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