Table 4.
Usage of patient-centered discharge toolkit component during 510 patient-admissions (480 unique patients).
| Metric | Statistic | Comment | |
| Discharge video watches, n (%) | 416 (81.6) | Watched before checklist completion, most often the English version | |
| Discharge checklist version submitted, n (%) | |||
|
|
Patient | 497 (97.5) | —a |
|
|
Caregiver | 13 (2.5) | Consented if patient preferred or did not have capacity |
| Electronic workflow used to submit checklist, n (%) | |||
|
|
Web-based REDCap survey | 457 (89.6) | Submitted via a mobile device |
|
|
Patient portal (discharge module) | 53 (10.4) | Could submit the checklist via the portal or REDCap |
| Total number of concerns reported bby domain | 164 | Most frequent items checked no or unsure by domain | |
|
|
Understanding the plan, n (%) | 355 (16.4) | Understanding the main reason for hospitalization |
|
|
Medications, n (%) | 664 (30.7) | Understanding changes to the medication regimen and how to get and take medications |
|
|
Self-care, n (%) | 437 (20.2) | Understanding red flag signs and symptoms |
|
|
Follow-up, n (%) | 656 (30.3) | Time and date of appointments, how to get to them |
|
|
Other, n (%) | 52 (2.4) | Unaddressed clinical concerns, nonmedical barriers |
| Safety dashboard discharge column | |||
|
|
Viewed by clinical staff during patient-admission, n (%) | 210 (41.2) | Accessed safety dashboard’s patient-detail view or clicked acknowledgment check-box |
|
|
Total number of times accessed, n | 631 | Median (IQR 25,75): 2 (1,4) per patient-admission |
|
|
RN, n (%) | 399 (63.2) | Unit-based bedside nurses |
|
|
MD, n (%) | 180 (28.5) | Attending or resident |
|
|
Administrative, n (%) | 44 (7.0) | Unit clerk |
|
|
Physician assistant, n (%) | 8 (1.3) | Worked on separate nonresident service with attendings |
| Secure postdischarge messaging (n=422c) | |||
|
|
Requested by patient, n (%) | 141 (33.4) | Patient must have had mobile phone with a mobile web-browser |
|
|
Initiated by physician, n (%) | 3 (2.1) | 2 attendings, 1 senior resident |
aNot applicable.
bA discharge checklist item for which the response was no or unsure was considered a patient-reported concern.
cDenominator reflects number of patient admissions in which postdischarge messaging was available.