Patient discharge: Difference between revisions
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In [[health care]], '''patient discharge''' is "the administrative process of discharging the patient, live or dead, from hospitals or other health facilities"<ref>{{MeSH}}</ref> | In [[health care]], '''patient discharge''' is "the administrative process of discharging the patient, live or dead, from hospitals or other health facilities"<ref>{{MeSH}}</ref> | ||
One study found that approximately 20% of older hospitalized [[Medicare]] patients are readmitted within 30 days<ref name="pmid19339721">{{cite journal |author=Jencks SF, Williams MV, Coleman EA |title=Rehospitalizations among patients in the Medicare fee-for-service program |journal=N. Engl. J. Med. |volume=360 |issue=14 |pages=1418–28 |year=2009 |month=April |pmid=19339721 |doi=10.1056/NEJMsa0803563 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=19339721&promo=ONFLNS19 |issn=|pmid=19339721 }}</ref> (only 10% of these readmissions were planned), while a second study found that 20% of recently discharged patients may have adverse events<ref name="pmid12558354">{{cite journal |author=Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW |title=The incidence and severity of adverse events affecting patients after discharge from the hospital |journal=Annals of internal medicine |volume=138 |issue=3 |pages=161–7 |year=2003 |month=February |pmid=12558354 |doi= |url=http://www.annals.org/cgi/pmidlookup?view=long&pmid=12558354 |issn=}}</ref> after hospital discharge. The costs are substantial.<ref name="pmid19339721" | One study found that approximately 20% of older hospitalized [[Medicare]] patients are readmitted within 30 days<ref name="pmid19339721">{{cite journal |author=Jencks SF, Williams MV, Coleman EA |title=Rehospitalizations among patients in the Medicare fee-for-service program |journal=N. Engl. J. Med. |volume=360 |issue=14 |pages=1418–28 |year=2009 |month=April |pmid=19339721 |doi=10.1056/NEJMsa0803563 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=19339721&promo=ONFLNS19 |issn=|pmid=19339721 }}</ref> (only 10% of these readmissions were planned), while a second study found that 20% of recently discharged patients may have adverse events<ref name="pmid12558354">{{cite journal |author=Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW |title=The incidence and severity of adverse events affecting patients after discharge from the hospital |journal=Annals of internal medicine |volume=138 |issue=3 |pages=161–7 |year=2003 |month=February |pmid=12558354 |doi= |url=http://www.annals.org/cgi/pmidlookup?view=long&pmid=12558354 |issn=}}</ref> after hospital discharge. The costs are substantial.<ref name="pmid19339721" /> | ||
Common adverse events after discharge include: | Common adverse events after discharge include: | ||
Latest revision as of 15:18, 19 July 2024
In health care, patient discharge is "the administrative process of discharging the patient, live or dead, from hospitals or other health facilities"[1]
One study found that approximately 20% of older hospitalized Medicare patients are readmitted within 30 days[2] (only 10% of these readmissions were planned), while a second study found that 20% of recently discharged patients may have adverse events[3] after hospital discharge. The costs are substantial.[2]
Common adverse events after discharge include:
- Drug toxicity which is the most common reason.[3][4]
- Abnormal diagnostic tests that are reported after hospital discharge[5]
- Inadequate communication between inpatient and outpatient physicians[6].
Coordinated interventions may reduce the rate of readmission of adult patients within 30 days from 21% to 15%.[7]
References
- ↑ Anonymous (2024), Patient discharge (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ 2.0 2.1 Jencks SF, Williams MV, Coleman EA (April 2009). "Rehospitalizations among patients in the Medicare fee-for-service program". N. Engl. J. Med. 360 (14): 1418–28. DOI:10.1056/NEJMsa0803563. PMID 19339721. Research Blogging.
- ↑ 3.0 3.1 Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW (February 2003). "The incidence and severity of adverse events affecting patients after discharge from the hospital". Annals of internal medicine 138 (3): 161–7. PMID 12558354. [e]
- ↑ Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW (April 2005). "Adverse drug events occurring following hospital discharge". Journal of General Internal Medicine 20 (4): 317–23. DOI:10.1111/j.1525-1497.2005.30390.x. PMID 15857487. PMC 1490089. Research Blogging.
- ↑ Roy CL, Poon EG, Karson AS, et al (July 2005). "Patient safety concerns arising from test results that return after hospital discharge". Annals of internal medicine 143 (2): 121–8. PMID 16027454. [e]
- ↑ Roy CL, Kachalia A, Woolf S, Burdick E, Karson A, Gandhi TK (March 2009). "Hospital readmissions: physician awareness and communication practices". J Gen Intern Med 24 (3): 374–80. DOI:10.1007/s11606-008-0848-x. PMID 18982395. Research Blogging.
- ↑ Jack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE et al. (2009). "A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.". Ann Intern Med 150 (3): 178-87. PMID 19189907. PMC PMC2738592.