Compliance with Emergency Department Discharge Instructions

Published:January 09, 2013DOI:https://doi.org/10.1016/j.jen.2012.10.004

      Objective

      The purpose of this study was to assess patient understanding of ED discharge instructions. It is essential for ED patients to understand their discharge instructions. ED staff face unique challenges when providing information in a distraction-filled, limited-time setting, often with no knowledge of the patient's medical history.

      Methods

      A qualitative study was conducted with a sample of patients discharged from our emergency department. Data were collected via a semi-structured interview.

      Results

      A total of 36 patients participated in the study; 29 patients were discharged with a drug prescription, and complementary investigations were scheduled for 3 patients. Most patients were satisfied with the time staff spent explaining the discharge instructions. However, some patients admitted that they did not intend to fully comply with the medical prescription. Nearly half of the patients reported difficulties understanding their drug prescription (the dose or purpose of the treatment). Most patients said that their poor understanding primarily was related to lack of clarity of the written prescription.

      Discussion

      Even the most comprehensive instructions may not be clearly understood. Despite the patients' high stated levels of satisfaction with communication in the emergency department, more than half of patients failed to comply with important discharge information. Health care staff must be aware of the importance of discharge information. Further research is needed to improve the patient discharge process.

      Key words

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      Biography

      Maxime Gignon is Public Health Researcher, Health School, University of Picardy, Amiens, France, Department of Public Health, Amiens University Hospital, Amiens, France, and Health Education Research, UPRESEA 3412, University Paris 13, France.

      Biography

      Christine Ammirati is Head of Emergency Department, Health School, University of Picardy, Amiens, France, Health Education Research, UPRESEA 3412, University Paris 13, France, and Emergency Department, Amiens University Hospital, Amiens, France.

      Biography

      Romain Mercier is Medical Doctor, Emergency Department, Amiens University Hospital, Amiens, France.

      Biography

      Matthieu Detave is Medical Doctor, Emergency Department, Amiens University Hospital, Amiens, France.