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Emergency Department Discharge Instructions: Lessons Learned through Developing New Patient Education Materials.

McCarthy DM, Engel KG, Buckley BA, Forth VE, Schmidt MJ, Adams JG, Baker DW - Emerg Med Int (2012)

Bottom Line: Our multidisciplinary team developed a new set of discharge instructions for five common emergency department diagnoses using recommended tools for creating literacy-appropriate and patient-centered education materials.We found that the recommended tools for document creation were essential in constructing the new instructions.However, while the tools were necessary, they were not sufficient.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 211 E. Ontario St., Suite 200, Chicago, IL 60611, USA.

ABSTRACT
Our multidisciplinary team developed a new set of discharge instructions for five common emergency department diagnoses using recommended tools for creating literacy-appropriate and patient-centered education materials. We found that the recommended tools for document creation were essential in constructing the new instructions. However, while the tools were necessary, they were not sufficient. This paper describes the insights gained and lessons learned in this document creation process.

No MeSH data available.


Related in: MedlinePlus

Revised kidney stone discharge instructions.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Revised kidney stone discharge instructions.

Mentions: A set of discharge instructions was created for five diagnoses that conform to existing healthcare literacy guidelines and overcome newly identified hurdles (Figure 1). In final testing, the newly created instructions were preferred by patients and caregivers alike. By focusing materials on “need to know” information and limiting the documents to essential content, the documents teach to the learning needs of the audience and avoid information overload. Preliminary evaluation of the documents through patient focus groups, comprehension testing, and SAM assessments indicates that the documents created through this process are superior to the discharge documents currently utilized at our institution. The documents impact on patient comprehension and behavior following an ED visit will need to be further assessed. Completion of patient comprehension assessment and formal assessment of impact on medical outcomes such as revisit rates, complications, and subsequent resource utilization is planned. In the future, these documents will serve as the foundation for a comprehensive discharge process, including written, verbal, and follow-up components, and our research team plans to rigorously evaluate their impact on downstream outcomes including comprehension, adherence, and resource utilization.


Emergency Department Discharge Instructions: Lessons Learned through Developing New Patient Education Materials.

McCarthy DM, Engel KG, Buckley BA, Forth VE, Schmidt MJ, Adams JG, Baker DW - Emerg Med Int (2012)

Revised kidney stone discharge instructions.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3361996&req=5

fig1: Revised kidney stone discharge instructions.
Mentions: A set of discharge instructions was created for five diagnoses that conform to existing healthcare literacy guidelines and overcome newly identified hurdles (Figure 1). In final testing, the newly created instructions were preferred by patients and caregivers alike. By focusing materials on “need to know” information and limiting the documents to essential content, the documents teach to the learning needs of the audience and avoid information overload. Preliminary evaluation of the documents through patient focus groups, comprehension testing, and SAM assessments indicates that the documents created through this process are superior to the discharge documents currently utilized at our institution. The documents impact on patient comprehension and behavior following an ED visit will need to be further assessed. Completion of patient comprehension assessment and formal assessment of impact on medical outcomes such as revisit rates, complications, and subsequent resource utilization is planned. In the future, these documents will serve as the foundation for a comprehensive discharge process, including written, verbal, and follow-up components, and our research team plans to rigorously evaluate their impact on downstream outcomes including comprehension, adherence, and resource utilization.

Bottom Line: Our multidisciplinary team developed a new set of discharge instructions for five common emergency department diagnoses using recommended tools for creating literacy-appropriate and patient-centered education materials.We found that the recommended tools for document creation were essential in constructing the new instructions.However, while the tools were necessary, they were not sufficient.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, 211 E. Ontario St., Suite 200, Chicago, IL 60611, USA.

ABSTRACT
Our multidisciplinary team developed a new set of discharge instructions for five common emergency department diagnoses using recommended tools for creating literacy-appropriate and patient-centered education materials. We found that the recommended tools for document creation were essential in constructing the new instructions. However, while the tools were necessary, they were not sufficient. This paper describes the insights gained and lessons learned in this document creation process.

No MeSH data available.


Related in: MedlinePlus