Key result
Qualitative evaluation of the hospital discharge process across acute NHS hospitals revealed similar processes with common issues, notably a significant lack of patient involvement.
The hospital discharge process across NHS hospitals shares common medication-related issues, highlighting a critical need for increased patient involvement and innovative models of care.
Reveals discharge vulnerabilities in NHS hospitals; leaves open whether targeted fixes reduce discrepancies or readmissions.
OBJECTIVES: Medication discrepancies for patients after discharge from hospital are well documented. They have been shown to cause unnecessary harm to patients and can result in hospital readmission. To improve patient discharge, the current process of discharging patients from hospital (the discharge process) needs evaluating to determine where and why medication issues occur. This study aimed to identify and evaluate the discharge process used in a range of acute National Health Service hospitals across the North West of England. METHODS: This qualitative study involved semi-structured telephone interviews with 13 chief pharmacists or an appropriately nominated member of the hospital pharmacy team. Thematic analysis of the transcribed interview data was performed. Data analysis revealed eight main themes which all impacted on the discharge process. RESULTS: The study was successful in identifying the discharge process across the range of hospitals as well as key issues and examples of good practice. The hospitals involved in the study were found to have similar discharge processes with issues common to all. One significant finding was a lack of patient involvement in the discharge process. CONCLUSIONS: To improve the patient discharge process, innovative solutions are required to overcome the current issues. In future work, the study findings will be used to develop a new model of care for patient discharge from hospital.
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Bullock et al. (2016) studied Hospital discharge (n=13). Hospital patient discharge process was evaluated on Identification and evaluation of the discharge process and medication issues. Qualitative evaluation of the hospital discharge process across acute NHS hospitals revealed similar processes with common issues, notably a significant lack of patient involvement.
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