Efficient Discharge Instruction and Effective Patient Communication to Prevent Readmission

Introduction American College of Nursing (ANA) released a discharge plan "Continuing the care process designed to help prepare patients for the next phase of care and make necessary arrangements for care at that stage It is defined as "part of 2010", page 47). Discharge plan is an ongoing process that enables medical teams to provide patients with appropriate care. In the past few years, with a large amount of research support, preparing families for discharge from discharge has become more complicated.

One out of seven patients discharged was re-hospitalized within 30 days and the health system is trying to control the inflow of these patients. The patient had forgotten 85% of the home care instructions by doctors and nurses before leaving the hospital, so the preventable re-hospitalization cost was 100 billion dollars. Hospitals and private clinics use care and management. The salary of the nurse manager is 15% of the annual budget of the hospital. Along with the rise in medical expenses, there are profit ratios in half of clinics and hospitals

Recent literature on re-hospitalization has found that most of them were thought to be caused by patient weakness and chronic disease progression. However, 11 to 52% of rehospitalizations such as inadequate treatment indications during hospitalization, such as unstable treatment at discharge, insufficiency of care and counseling after discharge, are considered preventable. In addition, a randomized prospective trial has shown that 15% to 85% of re-hospitalization can be prevented by patient education, pre-discharge evaluation and home follow-up care. However, the high re-hospitalization rate of diabetic patients can identify the problem of quality of care. Focusing on the specific needs of such patients may lead to the creation of a more responsive healthcare system for patients with chronic diseases

Research shows that effective discharge planning can reduce patient re-hospitalization rates. By critically analyzing the practice of discharge planning in the emergency medical department, you can identify factors that contribute to effective discharge planning. In addition, by adopting these key factors, you can create a discharge plan based on evidence for those affected by drug or alcohol abuse. For many patients, preparation for discharge is one of the most important aspects of hospitalization. According to a recent study by Moss, Flower & Houghton (2003), a careful discharge plan and good follow-up exposure can significantly improve the patient's health at discharge, while health care and social costs and rehospitalization rates . As part of the discharge plan, referrals to local organizations will help lower the rate of functional decline and repeat discharge