Journal of Patient Experience (Sep 2016)

The Impact of Revised Discharge Instructions on Patient Satisfaction

  • Heather Markey Waniga RN, MSN,
  • Travis Gerke ScD,
  • Alena Shoemaker MD,
  • Derek Bourgoine MHA,
  • Pracha Eamranond MD, MPH

DOI
https://doi.org/10.1177/2374373516666972
Journal volume & issue
Vol. 3

Abstract

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Introduction: The impact of discharge instructions on a patient’s experience is not fully understood. This research explored whether nurse- and physician-generated discharge instructions had a positive effect on patient perceptions regarding their discharge experience. Methods: We compared Press Ganey discharge-related patient satisfaction scores for the year prior to and the year subsequent to implementing revised discharge instructions for all patients admitted to a 180-bed community-based hospital. Results: Following the implementation of our revised discharge instructions, patient satisfaction significantly improved (84.7% vs 83%, P < .01). Patients responded that they felt ready for discharge (86.6% vs 84.9%, P = .01) and were satisfied with instructions for home care (87.8% vs 85.3%, P < .01). Discussion: This study finds that a novel discharge instruction set produced by both the nursing and physician staff may improve patient perceptions with the discharge process.