Table 2, Operationalized components of the Re-Engineered Hospital Discharge - Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools)

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Henriksen K, Battles JB, Keyes MA, et al., editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug.

Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools).

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Table 2Operationalized components of the Re-Engineered Hospital Discharge

Educate the patient about his/her diagnoses throughout the hospital stay.
Make appointments for clinician followup and post-discharge testing.
- Make appointments with input from the patient regarding the best time and date of the appointment.
- Coordinate appointments with physicians, testing, and other services.
- Discuss reason for and importance of physician appointments.
- Confirm that the patient knows where to go and has a plan about how to get to the appointment; review transportation options and other barriers to keeping these appointments.
Discuss with the patient any tests or studies that have been completed in the hospital and discuss who will be responsible for following up the results.
Organize post-discharge services.
- Be the sure patient understands the importance of such services.
- Make appointments that the patient can keep.
- Discuss the details about how to receive each service.
Confirm the medication plan.
- Reconcile the discharge medication regimen with those taken before the hospitalization.
- Explain what medications to take, emphasizing any changes in the regimen.
- Review each medication’s purpose, how to take each medication correctly, and important side effects to watch out for.
- Be sure patient has a realistic plan about how to get the medications.
Reconcile the discharge plan with national guidelines and critical pathways.
Review the appropriate steps for what to do if a problem arises.
- Instruct on a specific plan of how to contact the PCP (or coverage) by providing contact numbers for evenings and weekends.
- Instruct on what constitutes an emergency and what to do in cases of emergency.
Expedited transmission of the Discharge Resume (summary) to the physicians (and other services, such as the visiting nurses) accepting responsibility for the patient’s care after discharge that includes:
- Reason for hospitalization with specific principal diagnosis.
- Significant findings. When creating this document, the original source documents (e.g., laboratory, radiology, operative reports, and medication administration records) should be in the transcriber’s immediate possession and be visible when it is necessary to transcribe information from one document to another.
- Procedures performed and care, treatment, and services provided to the patient.
- The patient’s condition at discharge.
- A comprehensive and reconciled medication list (including allergies).
- A list of acute medical issues, tests, and studies for which confirmed results are pending at the time of discharge and require followup.
- Information regarding input from consultative services, including rehabilitation therapy.
Assess the patients’ degree of understanding by asking them to explain the details of the plan in their own words.
- May require removal of language and literacy barriers by utilizing professional interpreters.
- May require contacting family members, who may share in caregiving responsibilities.
Give the patient a written discharge plan at the time of discharge that contains the following:
- Reason for hospitalization.
- Discharge medications, including which medications to take, how to take them, and how to obtain them.
- Instructions on what to do if their condition changes.
- Coordination and planning for followup appointments that the patient can keep.
- Coordination and planning for followup tests and studies, for which confirmed results are not available at the time of discharge.
Telephone re-enforcement of the discharge plan and problem solving 2 to 3 days after discharge.

From: Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program

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Jack B, Greenwald J, Forsythe S, et al. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program. In: Henriksen K, Battles JB, Keyes MA, et al., editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. Table 2, Operationalized components of the Re-Engineered Hospital Discharge.
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cytochrome oxidase subunit II (mitochondrion) [Microcebus marohita]
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Homo sapiens coiled-coil domain containing 198 (CCDC198), transcript variant 2, ...
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