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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

"Learning by doing"--resident perspectives on developing competency in high-quality discharge care.

S Ryan Greysen1, Danise Schiliro, Leslie Curry

  • 1Division of Hospital Medicine, University of California, San Francisco, San Francisco, CA 94113, USA. Ryan.Greysen@ucsf.edu

Journal of General Internal Medicine
|May 9, 2012
PubMed
Summary

Physicians often learn high-quality discharge care through informal "learning by doing" rather than structured training. Standardizing education on systems-based practice can improve discharge care quality and reduce readmissions.

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Area of Science:

  • Medical Education
  • Systems-Based Practice
  • Healthcare Quality Improvement

Background:

  • Improving discharge care quality is a national priority to reduce readmissions and adverse events.
  • Understanding how physicians learn to provide high-quality discharge care is limited.

Purpose of the Study:

  • To explore how physicians learn about high-quality discharge care.
  • To identify opportunities for improving training in discharge care as a systems-based practice.

Main Methods:

  • In-depth interviews with 29 internal medicine residents.
  • Qualitative analysis using the constant comparative method by a multi-disciplinary team.

Main Results:

  • Residents reported a lack of formal training in discharge processes.
  • Learning primarily occurred through peer-to-peer instruction and "learning by doing."
  • Key concepts learned include teamwork, advanced planning, patient safety, continuity of care, and documentation.

Conclusions:

  • Discharge care is an overlooked area for teaching systems-based practice explicitly.
  • Unstructured learning leads to variable experiences in discharge care.
  • Standardized educational interventions can improve systems-based practice development and discharge care quality.