Patient Centred Care to Reduce Unplanned Readmission Within 28 Days.
Lead Local Health District
Unplanned readmission within 28 days of discharge reflects a breakdown in the continuum of care. Unplanned readmission from patients’ perspective is poorly understood. This study was conducted to understand contributors for readmission from the patient’s viewpoint.
A concurrent mixed method study was conducted using a structured telephone interview template.
Statistical analysis was conducted comparing 50 readmitted with 64 non-readmitted patients who were matched on key characteristics. Readmitted patients had a longer stay (2.2 days vs 0.55 days, p = 0.002), less knowledge of what signs or symptoms of deterioration to watch out for post discharge (p= 0.037), more difficulties getting to appointments (p= 0.046), have a care navigator (p= 0.01) and experience negative emotions on initial discharge (p=0.048).
Qualitative themes included a) communication, b) patient comfort and dignity, c) discharge issues, d) medications and e) systems issues. More than 1/3 (37%) of participants required telephone intervention at the time of data collection.
- Update patients contact details on all admissions
- Discharge information to be concise, specific and easily understood
- Post discharge phone calls for all patients within 3 days of discharge
- HealthDirect phone numbers for all patients on discharge
- Mental Health Access Line accessible.
Project Team Contacts
- Dot Hughes – Dot.firstname.lastname@example.org
- Anka Radmanovich
- Uta Conway
- David Schmidt.