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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Wright, S; Morecroft, CW; Mullen, R; Ewing, AB
Publisher: BMJ Publishing Group
Languages: English
Types: Article
Subjects: RT, R1
Objectives: Hospital discharge is a complex process that can result in errors and delays for patients, particularly around the supply of medicines and communication of information. To improve patient discharge, patient perspectives of the discharge service must be explored to determine where patients feel problems arise. This study aimed to explore inpatient perceptions and experiences of the current discharge process.\ud Methods: This study involved questionnaires with patients at a large city centre teaching hospital.\ud Results: A total of 104 inpatients participated, 60% (n=62) were male with an average age of 55 (age range\ud 19-93). Participants were from a range of medical, surgical and admissions wards. The majority, 71% of respondents (n=74) took regular medicines, with 65% (n=48) taking five or more medicines daily.\ud Most patients, 89% (n=87) were satisfied with their hospital discharge but felt that it took too long.\ud The perceived main cause of delay was waiting for medicines. Other highlighted issues included lack of counselling by pharmacists and the need for more patient involvement throughout the discharge process.\ud Conclusions: This study shows that certain aspects of the discharge process need improving to provide safe, quality care for patients and improve patient experience of discharge. The findings from this study will inform the development of a new model of care for patient discharge from hospital.
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    • 1. NHS England. Putting Patients First, NHS England Business plan 2013/14- 2014/15. 2013.
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    • Berendsen AJ, de Jong GM, Meyboom-de Jong B, Dekker JH, Schuling J. Transition of care: experiences and preferences of patients across the primary/secondary interface - a qualitative study. BMC Health Serv Res [Internet]. 2009 Jan [cited 2014 Jul 7];9:62. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2674593&tool=pmcentrez&rendertype=abstract Flink M, Öhlén G, Hansagi H, Barach P, Olsson M. Beliefs and experiences can influence patient participation in handover between primary and secondary care--a qualitative study of patient perspectives. BMJ Qual Saf [Internet]. 2012 Dec [cited 2014 Jun 5];21 Suppl 1:i76-83. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3551196&tool=pmcentrez&rendertype=abstract Hesselink G, Flink M, Olsson M, Barach P, Dudzik-Urbaniak E, Orrego C, et al. Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers. BMJ Qual Saf [Internet]. 2012 Dec [cited 2014 Jun 5];21 Suppl 1:i39-49. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23118410 Krska J, Morecroft CW. Informing patients about medicines-A hospital in-patient survey in England. Patient Educ Couns [Internet]. Elsevier Ireland Ltd; 2013;90(2):276-8. Available from: http://dx.doi.org/10.1016/j.pec.2012.09.011
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