ArticleJournal of hospital medicine
"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals.
Article in Journal of hospital medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- A systematic review on the effect of the organisation of hospital discharge on patient health outcomes.BMJ open · 2016Pooled it
- Exploring Wearables to Focus on the "Sweet Spot" of Physical Activity and Sleep After Hospitalization: Secondary Analysis.JMIR mHealth and uHealth · 2022Trial
- Trial
- Hospital variation in quality of discharge summaries for patients hospitalized with heart failure exacerbation.Circulation. Cardiovascular quality and outcomes · 2015Trial
- Review
- Pediatric Resident Communication of Hospital Discharge Instructions.Health literacy research and practice · 2023Article
- Quality of hospital discharge letters for patients at the end of life: A retrospective medical record review.European journal of cancer care · 2022Article
- Ready to Go Home? Assessment of Shared Mental Models of the Patient and Discharging Team Regarding Readiness for Hospital Discharge.Journal of hospital medicine · 2021Article
- Quality analysis of discharge instruction among 602 hospitalized patients in China: a multicenter, cross-sectional study.BMC health services research · 2020Article
- Beyond Discharge Summaries: Communication Preferences in Care Transitions Between Hospitalists and Primary Care Providers Using Electronic Medical Records.Journal of general internal medicine · 2020Article
- Intern Transitions of Care Curriculum Through Posthospital Home and Skilled Nursing Facility Visits.Journal of graduate medical education · 2018Article
- Evaluating the Quality of Patient Decision-Making Regarding Post-Acute Care.Journal of general internal medicine · 2018Article
- How Hospital Clinicians Select Patients for Skilled Nursing Facilities.Journal of the American Geriatrics Society · 2017Article
- A time-motion study of residents and medical students performing patient discharges from general internal medicine wards: a disjointed, interrupted process.Internal and emergency medicine · 2017Observational
- It's not just what you know: junior trainees' approach to follow-up and documentation.Medical education · 2017Article
- Article
- Residents' Exposure to Educational Experiences in Facilitating Hospital Discharges.Journal of graduate medical education · 2017Article
- Internal Medicine Residents' Perceived Responsibility for Patients at Hospital Discharge: A National Survey.Journal of general internal medicine · 2016Article
- Medical Residents and Interprofessional Interactions in Discharge: An Ethnographic Exploration of Factors That Affect Negotiation.Journal of general internal medicine · 2015Article
- Using a resident discharge clinic for resident education and patient care: a feasibility study.Journal of graduate medical education · 2014Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundImproving hospital discharge has become a national priority for teaching hospitals, yet little is known about physician perspectives on factors limiting the quality of discharge care.
objectivesTo describe the discharge process from the perspective of housestaff physicians, and to generate hypotheses about quality-limiting factors and key strategies for improvement.
methodsQualitative study with in-depth, in-person interviews with a diverse sample of 29 internal medicine housestaff, in 2010-2011, at 2 separate internal medicine training programs, including 7 different hospitals. We used the constant comparative method of qualitative analysis to explore the experiences and perceptions of factors affecting the quality of discharge care.
resultsWe identified 5 unifying themes describing factors perceived to limit the quality of discharge care: (1) competing priorities in the discharge process; (2) inadequate coordination within multidisciplinary discharge teams; (3) lack of standardization in discharge procedures; (4) poor patient and family communication; and (5) lack of postdischarge feedback and clinical responsibility.
conclusionsQuality-limiting factors described by housestaff identified key processes for intervention. Establishment of clear standards for discharge procedures, including interdisciplinary teamwork, patient communication, and postdischarge continuity of care, may improve the quality of discharge care by housestaff at teaching hospitals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.