Key result
Only ~70% of discharge packets meet all TJC requirements, highlighting medication reconciliation and follow-up deficits.
Why the study?
The quality of discharge documentation in patients discharged to rehabilitation and subacute facilities is less well studied than for those discharged home.
Population
1501 discharge documentation packets from patients discharged to subacute facilities from five acute care hospitals
Design
Retrospective evaluation of discharge documentation packets
Authors
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Suboptimal discharge documentation to subacute facilities may compromise care transitions; leaves open whether system-wide QI interventions close critical gaps.
Observational (n=1,501)
Yes
There are significant deficits in discharge documentation for patients transferred to subacute facilities, highlighting the need for improved medication reconciliation and follow-up planning.
Gándara et al. (2009) conducted an observational in Patients discharged from acute hospitals to subacute facilities (n=1,501). Discharge documentation was evaluated on Presence of all data elements required by the Joint Commission on Accreditation of Healthcare Organizations (TJC). Evaluation of 1,501 discharge documentation packets showed that only 70.3% contained all information required by TJC, highlighting deficits in medication reconciliation and follow-up plans.
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