Discharge intervention pilot improves satisfaction for patients and professionals

Lindpaintner, Lyn S.; Gasser, Jürg Th.; Schramm, Monique Sailer; Cina-Tschumi, Barbara; Müller, Bodo; Beer, Jürg H.

doi:10.1016/j.ejim.2013.08.703

Cited by 11 publications

(6 citation statements)

References 14 publications

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“…Satisfaction of community pharmacists with discharge prescriptions was already high in the control group but was even higher in the intervention group. This is consistent with a prior discharge organisation trial at our study site [33]. It is possible that the satisfaction was not specifically influenced by the service itself, but through participation in the study.…”

Section: Secondary Outcomessupporting

confidence: 89%

A RCT evaluating a pragmatic in-hospital service to increase the quality of discharge prescriptions

Brühwiler

Beeler

Böni

et al. 2019

International Journal for Quality in Health Care

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Objective To improve discharge prescription quality and information transfer to improve posthospital care with a pragmatic in-hospital service. Design A single-centre, randomized controlled trial Setting Internal medicine wards in a Swiss teaching hospital Participants Adult patients discharged to their homes, 76 each in the intervention and control group. Intervention Medication reconciliation at discharge by a clinical pharmacist, a prescription check for formal flaws, interactions and missing therapy durations. Important information was annotated on the prescription. Main Outcome Measures : At the time of medication dispensing, community pharmacy documented their pharmaceutical interventions when filling the prescription. A Poisson regression model was used to compare the number of interventions (primary outcome). The significance of the pharmaceutical interventions was categorized by the study team. Comparative analysis was used for the significance of interventions (secondary outcome). Results The community pharmacy staff performed 183 interventions in the control group, and 169 in the intervention group. The regression model revealed a relative risk for an intervention of 0.78 (95% CI 0.62-0.99, p=0.04) in the intervention group. The rate of clinically significant interventions was lower in the intervention group than in the control group (72 of 169 (42%) vs. 108 of 183 (59%), p<0.01), but more economically significant interventions were performed (98, 58% vs. 80, 44%, p<0.01). Conclusions The pragmatic in-hospital service increased the quality of prescriptions. The intervention group had a lower risk for the need for pharmaceutical interventions, and clinically significant interventions were less frequent. Overall, our pragmatic approach showed promising results to optimize post-discharge care.

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Section: Secondary Outcomessupporting

confidence: 89%

A RCT evaluating a pragmatic in-hospital service to increase the quality of discharge prescriptions

Brühwiler

Beeler

Böni

et al. 2019

International Journal for Quality in Health Care

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“…Physical recovery, infant care, entertaining visitors, as well as patient acuity on the unit create many distractions for both the nurse and the postpartum woman in the process of discharge teaching. While postpartum patients may feel they received satisfactory (Lindpaintner et al, 2013), high-quality education (Weiss & Lokken, 2009), it may be more than what women can take in and recall during the first few days postpartum (Bastable, 2008). Given that fatigue is implicated in PPD (Dennis & Ross, 2005), too much time spend on discharge education may actually have negative consequences.…”

Section: Clinical Nursing Implicationsmentioning

confidence: 99%

Effectiveness of Discharge Education on Postpartum Depression

McCarter‐Spaulding

Shea

2016

McN: The American Journal of Maternal/Child Nursing

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Purpose To determine effectiveness of an educational intervention in reducing or preventing symptoms of postpartum depression (PPD). Study Design and Methods English-speaking women age 18 or older with a singleton, term, healthy newborn were recruited from an 11-bed maternity unit in Southern New Hampshire. Using a quasi experimental design, the first 120 respondents received usual care (control), and the following 120 respondents received the education (treatment) including PPD predictors, symptoms, prevention and management. Current risk factors were measured using the Postpartum Depression Predictors Inventory-Revised (PDPI-R-R). Symptoms of depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks, 3 months and 6 months postpartum. Two proportion z-tests were used to determine whether the education significantly impacted EPDS scores at each of the three follow ups. Results There was no significant difference in symptoms of depression as measured by the EPDS between the treatment and control group at 6 weeks, 3 months or 6 months postpartum. However, consistent with previous studies, low socioeconomic status and a history of depression or anxiety prior to or during the pregnancy were significant predictors of PPD. Clinical implications Postpartum nursing discharge education did not decrease depression symptoms up to 6 months after discharge. More research is needed to determine the most appropriate timing and content of education about PPD. Many women at risk can be identified prior to birth. Education to improve literacy about PPD may need to be provided prenatally and reinforced during postpartum hospitalization and after discharge.

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“…Six of the 20 studies were conducted in China, three in the United States (Burns et al, 2014; Goldman et al, 2014; Naylor et al, 2004), three in Taiwan (Huang & Liang, 2005; Lin et al, 2009; Shyu et al, 2016), and two in the United Kingdom (Johnson-Warrington et al, 2016; Thompson et al, 2005), Canada (Harrison et al, 2002; Van Spall et al, 2019), and Australia (Courtney et al, 2009; Finlayson et al, 2018). The remaining two studies were conducted in Denmark (Lindhardt et al, 2019) and Switzerland (Lindpaintner et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Disease-specific information, including symptom recognition, symptom management, or advice about the importance of medication adherence and how to achieve it, was delivered in 6/10 studies to individuals with heart failure (Harrison et al, 2002; Thompson et al, 2005; Van Spall et al, 2019), hip fracture (Huang & Liang, 2005; Lin et al, 2009), and stroke survivors (Wong & Yeung, 2015). Three education interventions delivered general health and stress management information to individuals with varying general medical conditions, such as respiratory, cardiac, or endocrine disease (Goldman et al, 2014; Lindpaintner et al, 2013; Wong et al, 2008). Zhang and colleagues (2017) delivered a multicomponent education intervention for patients with coronary artery disease, including stress management tips, medication adherence, and self-care skill development.…”

Section: Resultsmentioning

confidence: 99%

“…The efficacy of education interventions was evaluated using the following outcomes: hospital readmission rates (assessed in 10/10 studies), quality of life (5/10; Harrison et al, 2002; Lindpaintner et al, 2013; Thompson et al, 2005; Wong & Yeung, 2015; Zhang et al, 2017), mental health (5/10; Harrison et al, 2002; Huang & Liang, 2005; Lin et al, 2009; Thompson et al, 2005; Wong & Yeung, 2015), physical health (6/10), and independent functioning (4/10; Huang & Liang, 2005; Lin et al, 2009; Wong et al, 2008; Zhang et al, 2017). Only one education intervention found a significant difference in hospital readmission rates at follow-up between treatment groups (Huang & Liang, 2005).…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Transition Interventions to Support Older Patients From Hospital to Home: A Systematic Scoping Review

et al. 2020

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Background: Interventions supporting older adults’ transition from hospital to home can address geriatric needs. Yet this evidence base is fragmented. This review describes transitional interventions that provide pre- and post-discharge support for older adults and evaluates their implementation and effectiveness in improving health and well-being. Method: Articles were included if they examined the extent to which transitional interventions were effective in improving health and well-being outcomes and reducing hospital readmission rates among older adults. Results: Twenty studies met the inclusion criteria. Four types of interventions were identified: education-based (10/20); goal-oriented (4/20); exercise (4/20); and social support interventions (2/20). Education and goal-oriented interventions were effective in improving health and well-being outcomes. The impact of interventions on mitigating hospital readmissions was inconclusive. Only five studies examined implementation. Discussion: Older adults transitioning from hospital to home would benefit from tailored education and goal-oriented interventions that promote their capacity for self-care.

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Discharge intervention pilot improves satisfaction for patients and professionals

Cited by 11 publications

References 14 publications

A RCT evaluating a pragmatic in-hospital service to increase the quality of discharge prescriptions

A RCT evaluating a pragmatic in-hospital service to increase the quality of discharge prescriptions

Effectiveness of Discharge Education on Postpartum Depression

The Effectiveness of Transition Interventions to Support Older Patients From Hospital to Home: A Systematic Scoping Review

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