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Learning from patients: a discharge planning improvement project

P Reiley1, A Pike, M Phipps

  • 1Nursing Services, Beth Israel Hospital, Boston, MA 02215, USA.

The Joint Commission Journal on Quality Improvement
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

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Hospitalized patients reported improved discharge planning and information access following a quality improvement initiative. This project enhanced patient education and involvement in care, leading to better recovery support.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Experience Research
  • Health Services Research

Background:

  • Beth Israel Hospital adopted the Picker/Commonwealth survey in 1991 to assess patient hospitalization experiences.
  • The hospital focused on the 'continuity and transition' dimension, specifically discharge planning.
  • Four multidisciplinary work teams were established in 1992 to improve discharge planning for various patient groups.

Purpose of the Study:

  • To improve the discharge planning process for hospitalized patients.
  • To enhance patient and family preparation for recovery after hospitalization.
  • To gather patient and family input for optimizing discharge procedures.

Main Methods:

  • Multidisciplinary work teams conducted patient/family discussion groups to identify areas for improvement.

Related Experiment Videos

  • Interventions were developed based on patient-specific feedback and needs.
  • The cardiac work team created interdisciplinary practice guidelines including patient education on hospitalization expectations.

    • Main Results:

    • Clinician practices evolved to include more patient feedback and involvement in care.
    • A 1994 survey showed a significant decrease in patients reporting insufficient recovery information (6% vs. 20% in 1993).
    • A standardized teaching packet was developed, and a patient and family learning center was launched in 1995.

    Conclusions:

    • The discharge planning improvement project successfully enhanced patient education and involvement.
    • Initiatives led to measurable improvements in patients' perceived preparedness for recovery.
    • Ongoing efforts include standardized educational materials and dedicated learning centers for patients and families.