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Informing the Development of a High-Quality Emergency Department Discharge Process: Insights From Patients and
Karanvir Gill1, Emily Stewart1, Sandra Ketler2
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Improving emergency department (ED) discharge in British Columbia requires standardized resources, automated summaries, caregiver involvement, and better social connections. Collaboration among stakeholders is crucial for enhanced patient care and outcomes.
Area of Science:
- Healthcare Management
- Patient Experience
- Quality Improvement
Background:
- Emergency department (ED) discharge processes in British Columbia (BC) lack consistency across health authorities.
- This inconsistency leads to variable patient experiences and health outcomes.
Purpose of the Study:
- To identify key factors contributing to a high-quality ED discharge process throughout BC.
- To gather insights from patients and healthcare professionals on improving ED discharge.
Main Methods:
- A qualitative study design was employed.
- Semistructured interviews were conducted via Zoom with 21 patient participants and ED healthcare practitioners.
- Thematic analysis was performed on interview transcripts.
Main Results:
- Recommendations include multilingual standardized discharge resources, automated discharge summaries, and caregiver involvement for care continuity.
- Ensuring timely answers to patient questions, text-based follow-up reminders, and improved social resource connections are vital.
- A cultural shift promoting collaboration among ED leaders, clinicians, patients, and EHR developers is necessary.
Conclusions:
- Diverse partner insights offer actionable strategies for enhancing ED discharge in BC.
- Health authorities and hospitals should champion the adoption of best practices to improve patient care and outcomes.
- Several actionable items are identified for immediate implementation and future research.
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