Patient input into the development and enhancement of ED discharge instructions: A focus group study

Journal of Emergency Nursing

Volumn 39, Issue 6, 2013, Pages 553-561

  Buckley, Barbara A ^a   McCarthy, Danielle M ^b   Forth, Victoria E ^b   Tanabe, Paula ^c   Schmidt, Michael J ^d   Adams, James G ^b   Engel, Kirsten G ^b  

^a NORTHWESTERN MEMORIAL HOSPITAL   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Discharge; Discharge instructions; Emergency department; Focus groups; Literacy

Indexed keywords

ADULT; ARTICLE; DISCHARGE; DISCHARGE INSTRUCTIONS; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; INFORMATION PROCESSING; MALE; MEDICAL INFORMATION; METHODOLOGY; PATIENT PARTICIPATION; READING; STATISTICS;

DISCHARGE; DISCHARGE INSTRUCTIONS; EMERGENCY DEPARTMENT; FOCUS GROUPS; LITERACY;

ADULT; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOCUS GROUPS; HEALTH COMMUNICATION; HUMANS; MALE; PATIENT DISCHARGE; PATIENT PARTICIPATION;

EID: 84887179863     PISSN: 00991767     EISSN: 15272966     Source Type: Journal    
DOI: 10.1016/j.jen.2011.12.018     Document Type: Article

References (35)

1. Stewart MA Effective physician-patient communication and health outcomes: a review. CMAJ 1995, 152:1423-1433.
2. The Joint Commission 2007 National Patient Safety Goals 2007, The Joint Commission, Oakbrook Terrace (Ill).
3. Hickson GB, Federspiel CF, Pichert JW, Miller CS, Gauld-Jaeger J, Bost P Patient complaints and malpractice Risk. JAMA 2002, 287:2951-2957.
4. Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM Physician-patient communication: the relationship with malpractice claims among primary care physicians and surgeons. JAMA 1997, 277:553-559.
5. Eisenberg EM, Murphy AG, Sutcliffe K, et al. Communication in emergency medicine: implications for patient safety. Commun Monogr 2005, 72:390-413.
6. Knopp R, Rosenzweig S, Bernstein E, Totten V Physician-patient communication in the emergency department, part 1. Acad Emerg Med 1996, 3:1065-1069.
7. Clancy C Finding your way: what to do before you leave the hospital AARP Web site, Accessed February 6, 2012. http://www.aarp.org/health/doctors-hospitals/info-12-2008/finding_your_way_what_to_do_before_you_leave_the_hospital.html.
8. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med 2003, 138:161-167.
9. Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med 2009, 150:178-187.
10. Moore C, McGinn T, Halm E Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med 2007, 167:1305-1311.
11. Institute of Medicine Health Literacy: A Prescription To End Confusion 2004, National Academy Press, Washington (DC).
12. Kutner M, Greenberd E, Jin Y, Paulson C The Health Literacy of America's Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006-483) 2006, National Center for Education Statistics, Washington (DC).
13. Berkman ND, Sheridan SL, Donahue KE, et al. Health Literacy Interventions And Outcomes: An Updated Systematic Review 2011, Agency for Healthcare Research and Quality, Rockville (Md), [Evidence Report/Technology Assessment 199].
14. Hall KK, Tanabe P, Brice JH, Skripkauskas S, Wolf MS A decade without progress: revisiting the readability of emergency medicine discharge instructions. Acad Emerg Med 2006, S94-S95.
15. Powers RD Emergency department patient literacy and the readability of patient-directed materials. Ann Emerg Med 1988, 17:124-126.
16. Spandorfer JM, Karras DJ, Hughes LA, Caputo C Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med 1995, 25:71-74.
17. Ginde AA, Weiner SG, Pallin DJ, Camargo CA Multicenter study of limited health literacy in emergency department patients. Acad Emerg Med 2008, 15:577-580.
18. Engel KG, Heisler M, Smith DM, Robinson CH, Forman JH, Ubel PA. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53:454-61, e15.
19. VanSuch M, Naessens JM, Stroebel RJ, Huddleston JM, Williams AR Effect of discharge instructions on readmission of hospitalised patients with heart failure: do all of the Joint Commission on Accreditation of Healthcare Organizations heart failure core measures reflect better care?. Qual Safety Health Care 2006, 15:414-417.
20. Sudore R, Schillinger D Interventions to improve care for patients with limited health literacy. J Clin Outcomes Manage 2009, 16:20-29.
21. Polit D, Beck C Nursing research: Principles and Methods 2004, Lippincott Williams & Wilkins, Philadelphia, PA. 7th ed.
22. Davis TC, Crouch MA, Long SW, et al. Rapid assessment of literacy levels of adult primary care patients. Fam Med 1991, 23:433-435.
23. Babbie E The Practice of Social Research. 2010, Wadsworth/Thomas Learning, Belmont, CA. 12th ed.
24. Rudd RE, Comings JP Learner developed materials: an empowering product. Health Educ Q 1994, 21:313-327.
25. Seligman HK, Wallace AS, DeWalt DA, et al. Facilitating behavior change with low-literacy patient education materials. Am J Health Behav 2007, 31(Suppl 1):S69-S78.
26. Kelly PA, Haidet P Physician overestimation of patient literacy: a potential source of health care disparities. Patient Educ Couns 2007, 66:119-122.
27. Powers RD Emergency department patient literacy and the readability of patient-directed materials. Ann Emerg Med 1988, 17:124-126.
28. Williams DM, Counselman FL, Caggiano CD Emergency department discharge instructions and patient literacy: a problem of disparity. Am J Emerg Med 1996, 14:19-22.
29. Katz M, Jacobson T, Veledar E, Kripalani S Patient literacy and question-asking behavior during the medical encounter: a mixed-methods analysis. J Gen Intern Med 2007, 22:782-786.
30. Stableford S, Mettger W Plain language: a strategic response to the health literacy challenge. J Public Health Policy 2007, 28:71-93.
31. National Institutes of Health The Plain Language Initiative 2009, National Institutes of Health, Bethesda, MD.
32. Wilson EA, Wolf MS Working memory and the design of health materials: a cognitive factors perspective. Patient Educ Couns 2009, 74:318-322.
33. Austin PE, Matlack RII, Dunn KA, Kesler C, Brown CK Discharge instructions: do illustrations help our patients understand them?. Ann Emerg Med 1995, 25:317-320.
34. Houts PS, Bachrach R, Witmer JT, Tringali CA, Bucher JA, Localio RA Using pictographs to enhance recall of spoken medical instructions. Patient Educ Couns 1998, 35:83-88.
35. Sofaer S Qualitative methods: what are they and why use them?. Health Serv Res 1999, 34:1101-1118.