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Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis.
Vincent A Pinelli1, Klara K Papp, Jed D Gonzalo
1Pennsylvania State University College of Medicine, Hershey, PA, USA.
Journal of General Internal Medicine
|July 16, 2015
Summary
Communication during hospital discharge is mostly synchronous, primarily involving intern physicians, primary nurses, and patients. Optimizing these communication patterns can improve care coordination for better patient outcomes.
Area of Science:
- Healthcare communication
- Patient discharge process
- Social network analysis in medicine
Background:
- Effective communication is crucial for optimal care delivery, particularly during hospital discharge.
- Understanding communication patterns between patients and providers during discharge is limited.
Purpose of the Study:
- To assess the frequency and patterns of communication between patients and healthcare providers during hospital discharge.
- To identify key communication routes and participants in the discharge process.
Main Methods:
- Employed social network analysis to map communication patterns.
- Conducted interviews with patients and 72 healthcare professionals involved in discharge.
- Differentiated between synchronous (e.g., face-to-face) and asynchronous (e.g., EHR) communication events.
Main Results:
- The majority of communication events (562 vs. 469) were synchronous.
- Key communication occurred between primary nurses and patients, and care coordinators and primary nurses.
- Intern physicians, primary nurses, and care coordinators were identified as most critical to the discharge process.
Conclusions:
- Communication during medicine service discharge is predominantly synchronous, involving intern physicians, primary nurses, and patients.
- System reorganization could optimize communication efficiency for improved discharge coordination.
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