Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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Schwarz, CM; Hoffmann, M; Smolle, C; Borenich, A; Fürst, S; Tuca, AC; Holl, AK; Gugatschka, M; Grogger, V; Kamolz, LP; Sendlhofer, G.
Patient-centered discharge summaries to support safety and individual health literacy: a double-blind randomized controlled trial in Austria.
BMC Health Serv Res. 2024; 24(1):789
Doi: 10.1186/s12913-024-11183-w
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- Führende Autor*innen der Med Uni Graz
- Hoffmann Magdalena
- Schwarz Christine
- Co-Autor*innen der Med Uni Graz
- Borenich Andrea
- Fürst Stefan
- Gugatschka Markus
- Holl Anna
- Kamolz Lars-Peter
- Sendlhofer Gerald
- Smolle Christian
- Tuca Alexandru
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- Abstract:
- BACKGROUND: To ensure a safe patient discharge from hospital it is necessary to transfer all relevant information in a discharge summary (DS). The aim of this study was to evaluate a bundle of measures to improve the DS for physicians, nurses and patients. METHODS: In a double-blind, randomized, controlled trial, four different versions of DS (2 original, 2 revised) were tested with physicians, nurses and patients. We used an evaluation sheet (Case report form, CRF) with a 6-point Likert scale (1 = completely agree; 6 = strongly disagree). RESULTS: In total, 441 participants (physicians n = 146, nurses n = 140, patients n = 155) were included in the study. Overall, the two revised DS received significant better ratings than the original DS (original 2.8 ± 0.8 vs. revised 2.1 ± 0.9, p < 0.001). Detailed results for the main domains are structured DS (original 1.9 ± 0.9 vs. revised 2.2 ± 1.3, p = 0.015), content (original 2.7 ± 0.9 vs revised 2.0 ± 0.9, p < 0.001) and comprehensibility (original 3.8 ± 1.2vs. revised 2.3 ± 1.2, p < 0.001). CONCLUSION: With simple measures like avoiding abbreviations and describing indications or therapies with fixed contents, the DS can be significantly improved for physicians, nurses and patients at the same time. TRIAL REGISTRATION: First registration 13/11/2020 NCT04628728 at www. CLINICALTRIALS: gov , Update 15/03/2023.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Double-Blind Method - administration & dosage
- Health Literacy - administration & dosage
- Male - administration & dosage
- Female - administration & dosage
- Austria - administration & dosage
- Middle Aged - administration & dosage
- Adult - administration & dosage
- Patient Safety - administration & dosage
- Patient Discharge - administration & dosage
- Patient Discharge Summaries - standards
- Aged - administration & dosage
- Patient-Centered Care - administration & dosage
- Find related publications in this database (Keywords)
- Patients
- Discharge summary
- Quality
- Content
- Health literacy
- Healthcare quality improvement
- Patient-centered care
- Patient education