Hospital Discharge Case Study

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Abstract Objective: To identify the obstacles experienced at discharge by physicians, nurses, patients and relatives Design: The questionnaires were developed on the basis of focus group interviews with hospital and local general practitioners, and individual interviews with patients and relatives. A survey was carried out among physicians from hospital, Local GPs, nurses, patients and relatives. Setting: Asian heart institute and research centre and the related community care area in Mumbai Participants: Twenty nine physicians participated in the focus group interviews with 10 patient and/or relatives in the individual interviews. Questionnaires were attended by 250 health-care providers and 154 patients and relatives. Results: Hospital…show more content…
Conclusions: The study provides a comprehensive representation of experiences and perceptions of physicians, nurses, patients and relatives involved in the discharge process. Lack of awareness, understanding and concern between hospital physicians and GPs significantly contribute to unproductive and risky discharge. The study recommends that efforts should be on improving these aspects in order to improve hospital discharge. Background: It is becoming increasingly important for the hospitals to ensure that the admitted patients are discharged from the hospital in the most safe and efficient manner. Shorter hospital stay, more care in the community, rising high-risk and elderly patients requiring regular and complex transitions are all central to the process…show more content…
Questionnaires were distributed among various people involved in the process of hospital discharge: In daily routine practiced, how many discharges were experienced in the hospital and what is professed to important in hospital discharge handover. The content and the size of questionnaires differed for each individual involved in the process of hospital discharge. Each questionnaire included general questions and a set of beliefs and statement about a good discharge process handover (around 15-30 questions and 13-32 statements).The questionnaire were verified thoroughly by heads of various clinical departments and distributed with a set discharge date among 200 discharge patients aged between 4-70 years from both the sexes of 7 departments i.e. Internal medicine, surgery, oncology, urology, pediatrics, neurology and gynecology along with their relatives, GPs, hospital physicians and nurses for a period of 4 months from june 2012 to September 2012.The exclusion criteria included patients or their relatives who were not physically present to fill the questionnaire or not in a proper mental state to fill the questionnaire. The statements were answered on a six point scale from strongly disagree to strongly agree. The questionnaire was directed to focus group interviews and individual interviews. The

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