Across Australia over one million patients are discharged from the emergency department. Discharge planning involves the communication of healthcare information to optimise patient safety, self-management and compliance with ongoing treatment. Little is known about the adequacy of discharge planning, therefore, the aim of this study was to explore the experience, confidence, satisfaction and perceptions of patients recently discharged from ED..
The descriptive exploratory study was conducted in one district Tasmanian hospital. Data collection involved patient telephone interviews and a retrospective medical record audit.
A convenience sample of 100 patients was used for the study. Overall, the majority (93%) of patients understood their treatment, were confident to be discharged home (88%), and satisfied (90%) with emergency care. The majority of patients' understood their discharge diagnosis (86%) and were provided with verbal (84%) discharge information. Discharge referral instructions were followed up by 60% of patients with 26% of patients re-presenting to emergency.
The study highlighted that the majority of patients were satisfied with care, complied with discharge healthcare information and confident to be discharged. However, a number of patients failed to adhere to discharge follow up advice and re-presented to the emergency.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Australasian Emergency Care
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Emergency department care 2015–16: Australian hospital statistics. Health services series no. 65. Cat no. HSE 168.AIHW, Canberra2016
- Effective discharge communication in the emergency department.Ann Emerg Med. 2012; 60: 152-159
- Discharge planning in the emergency department: a comprehensive approach.J Emerg Nurs. 2009; 35: 525-527
- Patterns and predictors of short-term death after emergency department discharge.Ann Emerg Med. 2011; 58: 551-5800
- Older patients’ understanding of emergency department discharge information and its relationship with adverse outcomes.J Patient Saf. 2011; 7: 19-25
- “Sign right here and you’re good to Go”: a content analysis of audiotaped emergency department discharge instructions.Ann Emerg Med. 2011; 57: 315-322
- Do patients understand discharge instructions?.J Emerg Nurs. 2011; 37: 138-140
- A systematic review of interventions to improve outcomes for elders discharged from the emergency department.Acad Emerg Med. 2005; 12: 978-986
- Overcrowding in emergency departments: a review of strategies to decrease future challenges.J Res Med Sci. 2017; 22 ([published Online First: 18.04.17]): 23https://doi.org/10.4103/1735-1995.200277
- Examining patient comprehension of emergency department discharge instructions: who says they understand when they do not?.Intern Emerg Med. 2015; 10: 993-1002
- How well informed are patients when leaving the emergency department? Comparing information provided and information retained.Emerg Med J. 2013; 30: 53-57
- Outcomes in older patients requiring comprehensive allied health care prior to discharge from the emergency department.Emerg Med Australas. 2013; 25: 127-131
- Discharge planning and patient satisfaction in an emergency short-stay unit.Emerg Med Australas. 2006; 18 ([published Online First: 04.02.06]): 7-14https://doi.org/10.1111/j.1742-6723.2006.00798.x
- Development of a discharge readiness report within the electronic health record – a discharge planning tool.J Hosp Med. 2014; 9 ([published Online First: 16.05.14]): 533-539https://doi.org/10.1002/jhm.2212
- Testing a post-discharge nurse-led transitional home visit in acute care pediatrics: the Hospital-To-Home Outcomes (H2O) study protocol.J Adv Nurs. 2016; 72 ([published Online First: 29.01.16]): 915-925https://doi.org/10.1111/jan.12882
- Guidelines approved under section 95A of the Privacy Act 1988: Australian Government.2014 (Available from: https://www.nhmrc.gov.au/guidelines-publications/pr2 [accessed 02.10.15])
- Understanding discharge communication behaviours in a pediatric emergency care context: a mixed methods observation study protocol.BMC Health Serv Res. 2017; 17: 276
- Discharge communication in patients presenting to the emergency department with chest pain: defining the ideal content.Health Commun. 2016; 31 ([published Online First: 28.10.15]): 557-565
- Predicting long-term mortality of older adults after acute care discharge: results from the geriatric emergency department elderly population cohort study.Wiley-Blackwell, Malden, MA2016: 215-216
- Long-term benefits of education by emergency care nurses at discharge of patients with atrial fibrillation.Int Emerg Nurs. 2017; 35: 7-12https://doi.org/10.1016/j.ienj.2017.03.006
- Improving emergency department discharge care with telephone follow-up. Does it connect?.J Am Geriatr Soc. 2018; 66: 436-438
- Patient's perspectives on outcomes of care after discharge from the emergency department: a qualitative study.Ann Emerg Med. 2017; 70: 648-5800
- Pain management in the emergency chain: the use and effectiveness of pain management in patients with acute musculoskeletal pain.Pain Med. 2014; 16: 970-984
- Management and relief of pain in an emergency department from the adult patients’ perspective.J Pain Symptom Manag. 2003; 25: 539-546
- Recent developments: management of pain.Br Med J. 2003; 326: 635-639
- Pain management after discharge from the ED.Am J Emerg Med. 2004; 22: 98-101
- Exploring how nurses assess, monitor and manage acute pain for adult critically ill patients in the emergency department: protocol for a mixed methods study.Scand J Trauma Resusc Emerg Med. 2017; 25https://doi.org/10.1186/s13049-017-0421-x
- Can an observational pain assessment tool improve time to analgesia for cognitively impaired older persons? A cluster randomised controlled trial.Emerg Med J. 2017; (emermed-2016-206065)https://doi.org/10.1136/emermed-2016-206065
- Pain after discharge: a pilot study of factors associated with pain management and functional status.J Emerg Nurs. 2006; 32 ([erratum appears in J Emerg Nurs 2007;33(February (1)):82]): 288-293
- Parent satisfaction with acute pediatric pain treatment at home.Clin J Pain. 2013; 29: 64-69
- Association of emergency department care factors with admission and discharge decisions for pediatric patients.J Pediatr. 2006; 149: 644-649
- Predicting functional decline in older emergency patients – he Safe Elderly Emergency Discharge (SEED) project.Age Ageing. 2017; 46: 219-225
- Risk Factors and interventions to prevent post emergency department discharge complications among geriatric population: a literature review.Ann Emerg Med. 2014; 64: S63
- Patient understanding of emergency department discharge instructions: where are knowledge deficits greatest?.Acad Emerg Med. 2012; 19: E1035-E1044
- Empiric management of Community Acquired Pneumonia in Australian emergency departments.Med J Austral. 2005; 183: 520-524
Published online: March 29, 2019
Accepted: January 21, 2019
Received: December 3, 2018
© 2019 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.