Pediatric emergency medicine trisk 4589 4589
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eligible providers and hospitals. Eligible hospitals must meet certain
required objectives each year to receive a financial incentive and avoid a
payment adjustment. Well-designed discharge instructions with the
information discussed below help hospitals reach the threshold for the
incentive by fulfilling several objectives, including maintaining an active
and updated medication list and providing discharged patients an electronic
copy of their discharge instructions.
Legal Considerations
Discharge instructions that are well designed highlight when a patient
should return for care, review potential complications associated with the
patient’s diagnosis, and give clear instructions for treatments. These
instructions can also serve as an important protection for the emergency
medicine practitioner, providing documentation that may be important when
an adverse event occurs or a complaint is raised. A copy of the instructions
provided to the patient should be maintained in the medical record.
GENERAL PRINCIPLES OF DISCHARGE INSTRUCTIONS
Organization
Instructions should be organized without a large amount of extra material
that can distract from the critical information, and should be written in
clear, short sentences rather than paragraphs. A simplified form leads to
increased patient satisfaction. Information should be presented with the
most important items first. Separate headers with diagnosis-specific
instructions enhance patient recall and understanding (Table 133.1 ).
DISCHARGE INSTRUCTION FORMATS
The content of discharge instructions and the process by which that content
is relayed to its intended audience varies widely from facility to facility.
The format of the instructions can be verbal and/or written or may include
multimedia technology. Pictures or diagrams and other visual aids may be
added. Different formats have inherent strengths and weaknesses.
Verbal Instructions
