Hospital discharge documentation and risk of rehospitalisation.
Approach to Improving Safety
- Audit and Feedback
- Provider-Patient Communication
- Clinical Pharmacist Involvement
- Patient Education
- Medication Reconciliation
Setting of Care
Communication between hospital-based and outpatient physicians is often suboptimal, and is thought to play a role in precipitating adverse events after discharge and rehospitalizations. However, this case-control study found that performance of several aspects of discharge communication—including medication reconciliation, discharge summary completion and quality, and patient education—did not decrease the risk of readmission. Other studies of specific discharge interventions, such as arranging outpatient follow-up or pharmacist review of medications, have also not affected readmission rates, meaning that preventable readmissions may only be reduced through more comprehensive (and resource-intensive) programs.