Optimizing the Hospital Discharge Process: Perspectives of the Health Care Team.

The Canadian journal of hospital pharmacy Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI:10.4212/cjhp.3544
Patrick Yeh, Karen Dahri, Michael Legal, Colleen Inglis, Jenifer Tabamo, Kiana Rahnama, Danielle Froese, Leslie Chin
{"title":"Optimizing the Hospital Discharge Process: Perspectives of the Health Care Team.","authors":"Patrick Yeh, Karen Dahri, Michael Legal, Colleen Inglis, Jenifer Tabamo, Kiana Rahnama, Danielle Froese, Leslie Chin","doi":"10.4212/cjhp.3544","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Prior research capturing pharmacists' perspectives on the discharge process has shown that their involvement is essential. Given the multidisciplinary nature of the hospital environment, it is important to understand the perspectives of nonpharmacist health care providers.</p><p><strong>Objectives: </strong>To explore the perspectives of nonpharmacist health care providers concerning current discharge practices, components of an effective discharge plan, and perceived barriers to an optimal discharge, and to explore their expectations of pharmacists at discharge.</p><p><strong>Methods: </strong>This qualitative study used key informant interviews of allied health professionals and prescribers at Vancouver General Hospital and North Island Hospital Comox Valley (British Columbia). Participants primarily working on general medicine, family practice, or hospitalist wards were invited to participate.</p><p><strong>Results: </strong>A total of 16 health care providers participated, consisting of 12 allied health professionals and 4 prescribers. Thematic analysis of the interview transcripts revealed 5 themes for each group. The following 3 themes were common to both groups: systems-related barriers to an optimal discharge; patient- and community-related barriers to an optimal discharge; and patient involvement and education. For allied health professionals, themes of prioritization of patients for discharge and direct communication/teamwork were also key for an optimal discharge. Prescriber-specific themes were limitations related to technology infrastructure and inefficiency of existing collaborative processes. Key responsibilities expected of the pharmacist at discharge included preparing the discharge medication reconciliation and prescriptions, addressing medication-related cost concerns, organizing adherence aids/tools, and providing medication counselling.</p><p><strong>Conclusions: </strong>Further studies are warranted to investigate optimization of the discharge process through implementation of standardized discharge protocols and electronic health record-related tools. The primary responsibilities of the pharmacist at discharge, as perceived by study participants, were consistent with previous literature.</p>","PeriodicalId":94225,"journal":{"name":"The Canadian journal of hospital pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060793/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Canadian journal of hospital pharmacy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4212/cjhp.3544","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Prior research capturing pharmacists' perspectives on the discharge process has shown that their involvement is essential. Given the multidisciplinary nature of the hospital environment, it is important to understand the perspectives of nonpharmacist health care providers.

Objectives: To explore the perspectives of nonpharmacist health care providers concerning current discharge practices, components of an effective discharge plan, and perceived barriers to an optimal discharge, and to explore their expectations of pharmacists at discharge.

Methods: This qualitative study used key informant interviews of allied health professionals and prescribers at Vancouver General Hospital and North Island Hospital Comox Valley (British Columbia). Participants primarily working on general medicine, family practice, or hospitalist wards were invited to participate.

Results: A total of 16 health care providers participated, consisting of 12 allied health professionals and 4 prescribers. Thematic analysis of the interview transcripts revealed 5 themes for each group. The following 3 themes were common to both groups: systems-related barriers to an optimal discharge; patient- and community-related barriers to an optimal discharge; and patient involvement and education. For allied health professionals, themes of prioritization of patients for discharge and direct communication/teamwork were also key for an optimal discharge. Prescriber-specific themes were limitations related to technology infrastructure and inefficiency of existing collaborative processes. Key responsibilities expected of the pharmacist at discharge included preparing the discharge medication reconciliation and prescriptions, addressing medication-related cost concerns, organizing adherence aids/tools, and providing medication counselling.

Conclusions: Further studies are warranted to investigate optimization of the discharge process through implementation of standardized discharge protocols and electronic health record-related tools. The primary responsibilities of the pharmacist at discharge, as perceived by study participants, were consistent with previous literature.

优化出院流程:医疗团队的观点。
背景:之前关于药剂师对出院流程的看法的研究表明,药剂师的参与至关重要。鉴于医院环境的多学科性质,了解非药剂师医疗服务提供者的观点非常重要:探讨非药剂师医疗服务提供者对当前出院实践、有效出院计划的组成部分、最佳出院所面临障碍的看法,并探讨他们在出院时对药剂师的期望:这项定性研究对温哥华综合医院和科莫克斯谷北岛医院(不列颠哥伦比亚省)的专职医疗人员和处方医生进行了关键信息访谈。受访者主要在全科、家庭医生或住院医生病房工作:共有 16 名医护人员参加了访谈,其中包括 12 名专职医疗人员和 4 名处方医生。对访谈记录进行的主题分析显示,每组都有 5 个主题。以下 3 个主题是两组的共同主题:与系统相关的最佳出院障碍;与患者和社区相关的最佳出院障碍;以及患者参与和教育。对于专职医疗人员而言,优先安排患者出院和直接沟通/团队合作也是实现最佳出院的关键。针对开处方者的主题是与技术基础设施相关的局限性和现有合作流程的低效率。出院时药剂师的主要职责包括准备出院用药核对和处方、解决用药相关费用问题、整理依从性辅助工具/工具以及提供用药咨询:结论:通过实施标准化出院协议和电子健康记录相关工具来优化出院流程的研究值得进一步开展。研究参与者认为药剂师在出院时的主要职责与之前的文献一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信