Does a Standardized Discharge Communication Tool Improve Resident Performance and Overall Patient Satisfaction?
| Autor: | Mauricio Baca, David A. Farcy, Laurie Boge, Luigi Cubeddu, Michael Dalley, David Edwards, Robert Goldszer, Chandelle Raza |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject MEDLINE lcsh:Medicine Educational Commentary Mnemonic 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine Medical Staff Hospital Humans In patient Conversation 030212 general & internal medicine Prospective Studies media_common Original Research business.industry Communication lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Internship and Residency 030208 emergency & critical care medicine General Medicine Emergency department lcsh:RC86-88.9 After discharge Middle Aged Patient Discharge Patient Satisfaction Physical therapy Emergency Medicine Observational study Female business |
| Zdroj: | Western Journal of Emergency Medicine, Vol 22, Iss 1 (2020) Western Journal of Emergency Medicine |
| ISSN: | 1936-9018 |
| Popis: | Introduction: The discharge conversation is a critical component of the emergency department encounter. Studies suggest that emergency medicine (EM) residency education is deficient in formally training residents on the patient discharge conversation. Our goal was to assess the proficiency of EM residents in addressing essential elements of a comprehensive discharge conversation; identify which components of the discharge conversation are omitted; introduce “DC HOME,” a standardized discharge mnemonic; and determine whether its implementation improved resident performance and patient satisfaction. Methods: This was a prospective observational pre- and post-intervention study done by convenience sampling of 400 resident discharge encounters. Resident physicians were observed by attending physicians who completed an evaluation, answering “yes” or “no” as to whether residents addressed six components of a comprehensive discharge. The six components include the following: diagnosis; care rendered; health and lifestyle modifications; obstacles after discharge; medications; and expectations – or “DC HOME.” Didactics introducing the mnemonic “DC HOME” was provided to resident physicians. Patient feedback and satisfaction were collected after each encounter, and we recorded differences between pre-intervention and post-intervention encounters. Results: Resident physicians improved significantly in all six components of “DC HOME” from pre-and-post intervention: discharge diagnosis (P = 0.0036) and the remaining five components (P |
| Databáze: | OpenAIRE |
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