A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement

Quality emergency department (ED) discharge communication is critical to understanding of disease progression, home management, and return instructions. Addressing social aspects of disease burden are important to improving satisfaction and healthcare utilization. The objective of this study was to...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Kevin M. Overmann MD, MS, Adam A. Vukovic MD, Med, Maria T. Britto MD, MPH
Formato: article
Lenguaje:EN
Publicado: SAGE Publishing 2021
Materias:
Acceso en línea:https://doaj.org/article/fb9fd8d636924182ac5d7f412cf0a6cc
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:fb9fd8d636924182ac5d7f412cf0a6cc
record_format dspace
spelling oai:doaj.org-article:fb9fd8d636924182ac5d7f412cf0a6cc2021-12-01T23:06:24ZA Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement2374-374310.1177/23743735211060773https://doaj.org/article/fb9fd8d636924182ac5d7f412cf0a6cc2021-11-01T00:00:00Zhttps://doi.org/10.1177/23743735211060773https://doaj.org/toc/2374-3743Quality emergency department (ED) discharge communication is critical to understanding of disease progression, home management, and return instructions. Addressing social aspects of disease burden are important to improving satisfaction and healthcare utilization. The objective of this study was to understand the extent to which written ED discharge instructions address multifaceted aspects of disease to meet the comprehensive needs of families with common childhood illnesses. We analyzed a national sample of 28 written discharge instructions from pediatric EDs using thematic and inductive content analysis. Seven themes were identified. Nearly all discharge instructions devoted a majority of content to themes related to disease physiology. Other themes common to instructions were related to parental instructions for caring for the child and when to return for further care. Content on caregiver reassurance, returning to daily activities, improving well-being, and promoting community health were not a focus of discharge instructions. Inclusion of multifaceted discharge materials which address both medical and social aspects of disease may help improve family-centered emergency care and the quality of care transitions for common childhood illnesses.Kevin M. Overmann MD, MSAdam A. Vukovic MD, MedMaria T. Britto MD, MPHSAGE PublishingarticleMedicine (General)R5-920ENJournal of Patient Experience, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Kevin M. Overmann MD, MS
Adam A. Vukovic MD, Med
Maria T. Britto MD, MPH
A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
description Quality emergency department (ED) discharge communication is critical to understanding of disease progression, home management, and return instructions. Addressing social aspects of disease burden are important to improving satisfaction and healthcare utilization. The objective of this study was to understand the extent to which written ED discharge instructions address multifaceted aspects of disease to meet the comprehensive needs of families with common childhood illnesses. We analyzed a national sample of 28 written discharge instructions from pediatric EDs using thematic and inductive content analysis. Seven themes were identified. Nearly all discharge instructions devoted a majority of content to themes related to disease physiology. Other themes common to instructions were related to parental instructions for caring for the child and when to return for further care. Content on caregiver reassurance, returning to daily activities, improving well-being, and promoting community health were not a focus of discharge instructions. Inclusion of multifaceted discharge materials which address both medical and social aspects of disease may help improve family-centered emergency care and the quality of care transitions for common childhood illnesses.
format article
author Kevin M. Overmann MD, MS
Adam A. Vukovic MD, Med
Maria T. Britto MD, MPH
author_facet Kevin M. Overmann MD, MS
Adam A. Vukovic MD, Med
Maria T. Britto MD, MPH
author_sort Kevin M. Overmann MD, MS
title A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
title_short A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
title_full A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
title_fullStr A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
title_full_unstemmed A Content Analysis of Emergency Department Discharge Instructions for Acute Pediatric Febrile Illnesses: The Current State and Opportunities for Improvement
title_sort content analysis of emergency department discharge instructions for acute pediatric febrile illnesses: the current state and opportunities for improvement
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/fb9fd8d636924182ac5d7f412cf0a6cc
work_keys_str_mv AT kevinmovermannmdms acontentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
AT adamavukovicmdmed acontentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
AT mariatbrittomdmph acontentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
AT kevinmovermannmdms contentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
AT adamavukovicmdmed contentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
AT mariatbrittomdmph contentanalysisofemergencydepartmentdischargeinstructionsforacutepediatricfebrileillnessesthecurrentstateandopportunitiesforimprovement
_version_ 1718404081208262656