Improving the Emergency Department Discharge Process: Environmental Scan Report – AHRQ – December 2014
Prepared by: Johns Hopkins University, Armstrong Institute for Patient Safety and Quality
“Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries and ailments. It is crucial for these patients to receive appropriate preparation for their return home so that they can properly manage their recovery. ED discharge failure, such as ED return within 72 hours or more, carries significant clinical implications for patients, including unfinished treatments and progression of illness. But there is only limited understanding of such risk factors currently. This report presents the purpose, methods, and results of an environmental scan on existing literature in this area.”Read Full Post | Make a Comment ( Comments Off on Improving the Emergency Department Discharge Process: Environmental Scan Report – AHRQ – December 2014 )
Prepared by: Boston University for AHRQ – Agency for Healthcare Research and Quality
“A variety of forces are pushing hospitals to improve their discharge processes to reduce readmissions. Researchers at the Boston University Medical Center (BUMC) developed and tested the Re-Engineered Discharge (RED). Research showed that the RED was effective at reducing readmissions and posthospital emergency department (ED) visits. The Agency for Healthcare Research and Quality contracted with BUMC to develop this toolkit to assist hospitals, particularly those that serve diverse populations, to replicate the RED.”Read Full Post | Make a Comment ( Comments Off on Re-Engineered Discharge (RED) Toolkit – Agency for Healthcare Research and Quality – March 2013 )
AHRQ = Agency for Healthcare Research and Quality
Taking Care of Myself: A Guide for When I Leave the Hospital is a guide for patients to help them care for themselves when they leave the hospital. The easy-to-read guide can be used by both hospital staff and patients during the discharge process and provides a way for patients to track their medication schedules, upcoming medical appointments, and important phone numbers.
About the Guide
Taking Care of Myself: A Guide for When I Leave the Hospital is adapted from the Project RED (Re-Engineered Discharge), which was funded by the Agency for Healthcare Research and Quality and the National Heart, Lung, and Blood Institute and operated by the Boston University Medical Center. Project RED showed that preparing patients to care for themselves when they leave the hospital can improve patient safety and reduce re-hospitalization rates. Giving patients an easy-to-understand discharge plan is 1 of 11 elements in the RED process.
More detailed tools for implementing RED, and revisions of existing tools to ensure that diverse populations—especially patients with limited English proficiency, are now being developed. The tools will be completed by late 2012 and posted on the AHRQ Web site and the Boston University Medical Center’s Project RED Web site.Read Full Post | Make a Comment ( None so far )
Frequently Asked Questions from the AHRQ website – June 2009
“The Re-Engineered Hospital Discharge project, known as Project RED, was developed by Brian Jack, M.D., Associate Professor of Family Medicine at Boston University and Timothy Bickmore, Ph.D., Assistant Professor in the College of Computer and Information Science at Northeastern University, through a Partnerships in Implementing Patient Safety grant from the Agency for Healthcare Research and Quality. The project is designed to re-engineer the hospital workflow process and improve patient safety by using a nurse discharge advocate who follows 11 discrete, mutually reinforcing action steps shown to improve the discharge process and decrease hospital readmissions. Patients who have a clear understanding of their after-hospital care instructions, including how to take their medicines and when to make follow-up appointments with their doctors, are 30 percent less likely to be readmitted or visit the emergency department than patients who lack this information, according to a study by Dr. Jack that appeared in the February 3, 2009, Annals of Internal Medicine.
The Project RED toolkit includes the following:
Training Manual—This workbook for health professionals details how to deliver a safe and effective hospital discharge.
After Hospital Care Plan Sample Form—The After Hospital Care Plan is designed to clearly present the information needed by patients to prepare them for the days between discharge and the first visit with their ambulatory care physician.
Computerized Workstation to Print the After Hospital Care Plan—This document describes the computerized workstation and the process used to create and print the After Hospital Care Plan.”