Hospital discharge readiness on patients post hip surgery

2021 ◽  
Vol 31 ◽  
pp. S122-S125
Author(s):  
Ina Nurul Rahmahwati ◽  
Riri Maria ◽  
Tuti Herawati
Keyword(s):  
Hospital Discharge ◽  
Hip Surgery ◽  
Discharge Readiness

scholarly journals Does Feedback to Physicians of a Patient-Reported Readiness for Discharge Checklist Improve Discharge?

2020 ◽  
Vol 7 (6) ◽  
pp. 1144-1150
Author(s):  
James D Harrison ◽  
W John Boscardin ◽  
Judith Maselli ◽  
Andrew D Auerbach
Keyword(s):  
Hospital Discharge ◽  
Limited Data ◽  
Patient Reported ◽  
Discharge Outcomes ◽  
Discharge Readiness ◽  
The Mean ◽  
Reported Data ◽  
Discharge Transition

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.

Ready to Go Home? Assessment of Shared Mental Models of the Patient and Discharging Team Regarding Readiness for Hospital Discharge

2020 ◽  
Author(s):  
Kirstin A Manges ◽  
Andrea S Wallace ◽  
Patricia S Groves ◽  
Marilyn M Schapira ◽  
Robert E Burke
Keyword(s):  
Mental Models ◽  
Hospital Discharge ◽  
Short Form ◽  
Hospital Medicine ◽  
Patient Discharge ◽  
Absolute Difference ◽  
Average Score ◽  
Self Assessment ◽  
Interprofessional Team ◽  
Discharge Readiness

BACKGROUND: A critical task of the inpatient interprofessional team is readying patients for discharge. Assessment of shared mental model (SMM) convergence can determine how much team members agree about patient discharge readiness and how their mental models align with the patient’s self-assessment. OBJECTIVE: Determine the convergence of interprofessional team SMMs of hospital discharge readiness and identify factors associated with these assessments. DESIGN: We surveyed interprofessional discharging teams and each team’s patient at time of hospital discharge using validated tools to capture their SMMs. PARTICIPANTS: Discharge events (n = 64) from a single hospital consisting of the patient and their team (nurse, coordinator, physician). MEASURES: Clinician and patient versions of the validated Readiness for Hospital Discharge Scales/Short Form (RHDS/SF). We measured team convergence by comparing the individual clinicians’ scores on the RHDS/SF, and we measured team-patient convergence as the absolute difference between the Patient-RHDS/SF score and the team average score on the Clinician-RHDS/SF. RESULTS: Discharging teams assessed patients as having high readiness for hospital discharge (mean score, 8.5 out of 10; SD, 0.91). The majority of teams had convergent SMMs with high to very high interrater agreement on discharge readiness (mean r*wg(J), 0.90; SD, 0.10). Yet team-patient SMM convergence was low: Teams overestimated the patient’s self-assessment of readiness for discharge in 48.4% of events. We found that teams reporting higher-quality teamwork (P = .004) and bachelor’s level–trained nurses (P < .001) had more convergent SMMs with the patient. CONCLUSION: Measuring discharge teams’ SMM of patient discharge readiness may represent an innovative assessment tool and potential lever to improve the quality of care transitions. Journal of Hospital Medicine 2020;15:XXX-XXX.

Clinical Outcome of Orthopaedic Patients with Negative Lower Limb Venography at Discharge

1995 ◽  
Vol 74 (04) ◽  
pp. 1042-1044 ◽  
Author(s):  
Giancarlo Agnelli ◽  
Valeria Ranucci ◽  
Franca Veschi ◽  
Emanuele Rinonapoli ◽  
Luciano Lupattelli ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Hospital Stay ◽  
Hospital Discharge ◽  
Family Doctor ◽  
Hip Surgery ◽  
Thromboembolic Events ◽  
Pharmacological Prophylaxis ◽  
Vein Thrombosis ◽  
Orthopaedic Patients ◽  
Deep Vein

SummaryPharmacological prophylaxis for postoperative venous thromboembolism is generally restricted to the hospital stay. A high incidence of deep vein thrombosis (DVT) and pulmonary embolism presenting after hospital discharge has been reported and thus it has been claimed that pharmacological prophylaxis should be continued after discharge. The aim of this study was to perform a prospective survey to assess the prevalence of clinically overt thromboembolic events in hip surgery patients discharged with a negative venography without further pharmacological prophylaxis. We followed-up 213 patients with negative venography at discharge (105 elective hip replacement and 108 hip fracture patients). 186 patients (87.3%) were re-examined as outpatients one to two months after discharge. Five patients reported symptoms of DVT but the diagnosis was not confirmed by objective testing. The remaining 27 patients (12.7%) were followed up through their family doctor or by telephone call; in these patients the follow-up period ranged from 60 days to 2 years. Twenty-two patients (10.3%) were still alive and reported no signs or symptoms of venous thromboembolism. Three patients (1.4%) died for reasons not correlated with venous thromboembolism. Two patients could not be traced due to geographical inaccessibility; they were still alive after 1 year according to the records of their health care district. The results of our study suggest that in hip surgery patients with negative venography the prevalence of clinically overt thromboembolic events after hospital discharge ranges from 0 to 2.2% (95% C. I.). It is conceivable that the majority of late presenting postoperative DVT actually develop during the hospital stay and become symptomatic after hospital discharge.

scholarly journals Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

2019 ◽  
Vol 2 (1) ◽  
pp. 40-47
Author(s):  
Ina Nurul Rahmawati ◽  
Riri Maria
Keyword(s):  
Discharge Planning ◽  
Hip Surgery ◽  
Care Needs ◽  
Delivery Methods ◽  
Data Bases ◽  
Rehabilitation Programs ◽  
Discharge Readiness ◽  
Returning Home ◽  
Improve Patient ◽  
Discharge Teaching

The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness.   Keywords: discharge teaching, discharge readiness, post hip surgery

scholarly journals Post Hoc Assessment of Time to Clinical Response Among Adults Hospitalized with Community-Acquired Bacterial Pneumonia Who Received Either Lefamulin or Moxifloxacin in 2 Phase III Randomized, Double-Blind, Double-Dummy Clinical Trials

2020 ◽  
Vol 7 (5) ◽  
Author(s):  
Thomas Lodise ◽  
Sam Colman ◽  
Daniel S Stein ◽  
David Fitts ◽  
Lisa Goldberg ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Clinical Response ◽  
Hospital Discharge ◽  
Median Time ◽  
Bacterial Pneumonia ◽  
Phase Iii ◽  
Double Blind ◽  
Treatment Groups ◽  
Discharge Readiness ◽  
Post Hoc

Abstract Time to clinical response, a proxy for hospital “discharge readiness,” was compared between CABP inpatients who received lefamulin or moxifloxacin in the Lefamulin Evaluation Against Pneumonia (LEAP) trials. The analysis included 926 inpatients. A short and comparable median time to clinical response (4 days) was observed in both treatment groups.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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