literature review on patient discharge instructions

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Understanding discharge instruction is crucial to optimal healing but can be compromised in the hectic environment in the emergency room. Waisman, Siegal, CHemo (2003) completed a study in which the objective was to determine the parents understanding of ED discharge instruction and factors that may affect home care.


Supporting the results of that study but getting poorer results, Gilroy noted in a study done in 2009 that patients who are discharged from the emergency room have a difficult time remembering the instructions, especially those that are given about such things as wound care and medications. In a study performed in an emergency room, doing call back 1 week after discharge, 68% could not tell the call back nurse what the instructions that were given were.
In a study performed by the University of Michigan Health System (2008), it is noted that around the nation there are 115 million patients that visit the emergency room. Of those patients, 3/4 leave with an impression of what happened or what should happen next. Most ER care teams including University of Michigan would like to see much better than 75% remember what to do next. What they found to be even more upsetting was that 80% of those that understood what to do next were "pretty sure what to do". Northwestern Hospital of Chicago (2008), performed a similar study, reviewing making post ER calls over a 6 month period and collecting data from those calls. Researchers at Northwestern, led by Engel, reported more than 75% of ED patients interviewed after discharge had deficient comprehension or less than complete memory. ...
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