Key result
Sharing patient-reported discharge readiness data with physicians fails to change identified barriers versus patient-only feedback.
Why the study?
Limited data exist describing how hospital discharge readiness checklists might be incorporated into clinical care.
Does providing patient-reported readiness for discharge checklist data to physicians reduce discharge barriers in hospitalized adults?
Observational (n=342)
Does providing patient-reported readiness for discharge checklist data to physicians reduce discharge barriers in hospitalized adults?
p-value: p=0.39
Providing physicians with patient-reported discharge readiness checklist data did not reduce the number of reported discharge barriers.
No immediate practice change from sharing patient-reported discharge data; leaves open optimized feedback strategies in future trials.
Limited data exist describing how hospital discharge readiness checklists might be incorporated into care. To evaluate how assessing patient readiness for discharge effects discharge outcomes. We assessed hospitalized adults’ readiness for discharge daily using a checklist. In the first feedback period, readiness data were given to patients, compared to the second feedback period, where data were given to patients and physicians. In the first feedback period, 163 patients completed 296 checklists, and in the second feedback period, 179 patients completed 371 checklists. In the first feedback period, 889 discharge barriers were identified, and 1154 in the second feedback period ( P = .27). We found no association between the mean number of discharge barriers by hospital day and whether data were provided to physicians ( P = .39). Eighty-nine physicians completed our survey, with 76 (85%) recalling receiving checklist data. Twenty-three (30%) of these thought the data helpful, and 45 (59%) stated it “never” or “rarely” highlighted anything new. Patients continued to report discharge barriers even when physicians received patient-reported data about key discharge transition domains.
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Harrison et al. (2020) conducted an observational in Hospitalized adults (n=342). Providing patient-reported discharge readiness data to physicians vs. Providing data to patients only was evaluated on Mean number of discharge barriers by hospital day (p=0.39). Providing patient-reported discharge readiness data to physicians did not significantly change the mean number of discharge barriers identified by hospital day compared to patient-only feedback (P=0.39).
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