Does Feedback to Physicians of a Patient-Reported Readiness for Discharge Checklist Improve Discharge?

• Published in: Journal of patient experience Vol. 7; no. 6; pp. 1144 - 1150
• Main Authors: Harrison, James D, Boscardin, W John, Maselli, Judith, Auerbach, Andrew D
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.12.2020; Sage Publications Ltd; SAGE Publishing
• Subjects: Feedback; Patients; Physicians; discharge planning; patient-reported outcomes; patient discharge; care transitions
• ISSN: 2374-3735; 2374-3743
• DOI: 10.1177/2374373519895100

Limited data exist describing how hospital discharge readiness checklists might be incorporated into care. To evaluate how assessing patient readiness for discharge effects discharge outcomes. We assessed hospitalized adults’ readiness for discharge daily using a checklist. In the first feedback period, readiness data were given to patients, compared to the second feedback period, where data were given to patients and physicians. In the first feedback period, 163 patients completed 296 checklists, and in the second feedback period, 179 patients completed 371 checklists. In the first feedback period, 889 discharge barriers were identified, and 1154 in the second feedback period (P = .27). We found no association between the mean number of discharge barriers by hospital day and whether data were provided to physicians (P = .39). Eighty-nine physicians completed our survey, with 76 (85%) recalling receiving checklist data. Twenty-three (30%) of these thought the data helpful, and 45 (59%) stated it “never” or “rarely” highlighted anything new. Patients continued to report discharge barriers even when physicians received patient-reported data about key discharge transition domains.