title: Improving discharge planning communication between hospitals and patients.
abstract: BACKGROUND
  A potential barrier to patient discharge from hospital is communication problems between the treating team and the patient or family regarding discharge planning.
  
  
  OBJECTIVE
  To determine if a bedside 'Leaving Hospital Information Sheet' increases patient and family's knowledge of discharge date and destination and the name of the key clinician primarily responsible for team-patient communication.
  
  
  METHODS
  This article is a 'before-after' study of patients, their families and the interdisciplinary ward-based clinical team. Outcomes assessed pre-implementation and post-implementation of a bedside 'Leaving Hospital Information Sheet' containing discharge information for patients and families. Patients and families were asked if they knew the key clinician for team-patient communication and the proposed discharge date and discharge destination. Responses were compared with those set by the team. Staff were surveyed regarding their perceptions of patient awareness of discharge plans and the benefit of the 'Leaving Hospital Information Sheet'.
  
  
  RESULTS
  Significant improvement occurred regarding patients' knowledge of their key clinician for team-patient communication (31% vs 75%; P = 0.0001), correctly identifying who they were (47% vs 79%; P = 0.02), and correctly reporting their anticipated discharge date (54% vs 86%; P = 0.004). There was significant improvement in the family's knowledge of the anticipated discharge date (78% vs 96%; P = 0.04). Staff reported the 'Leaving Hospital Information Sheet' assisted with communication regarding anticipated discharge date and destination (very helpful n = 11, 39%; a little bit helpful n = 11, 39%).
  
  
  CONCLUSIONS
  A bedside 'Leaving Hospital Information Sheet' can potentially improve communication between patients, families and their treating team.
authors.affiliation: Rehabilitation and Aged Care, Kingston Centre, Monash Health.|Epworth-Monash Rehabilitation Medicine Unit, Southern Medical School.|Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
authors.forename: P W
authors.initials: PW
authors.lastname: New
authors.affiliation: Rehabilitation and Aged Care, Kingston Centre, Monash Health.
authors.forename: K E
authors.initials: KE
authors.lastname: McDougall
authors.affiliation: Rehabilitation and Aged Care, Kingston Centre, Monash Health.
authors.forename: C P R
authors.initials: CP
authors.lastname: Scroggie
mesh_terms: D003142:Communication; D006761:Hospitals / Q000592:standards / Q000639:trends*; D006801:Humans; D007902:Length of Stay / Q000639:trends; D010348:Patient Care Team / Q000592:standards / Q000639:trends*; D010351:Patient Discharge / Q000592:standards / Q000639:trends*; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D011795:Surveys and Questionnaires
keywords: communication; discharge planning; patients; rehabilitation; stroke