Page 57 - 2022 Risk Basics - Systems
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SVMIC Risk Basics: Systems
5. If there are pending test results, it’s even more important to ensure a
post-discharge follow-up appointment has been established.
Strategies
Consider the following strategies to develop or improve existing
discharge protocols and help avoid readmission.
• Include specific instructions about signs and symptoms to watch for
and offer contact information for early intervention.
• Utilize the teach-back method to ensure patient understanding of
discharge instructions.
• Document all advice given, detailing the patient’s level of
understanding.
• Inform the patient to expect a follow-up call from the inpatient or
outpatient nurse or scheduler to check on the patient.
• Ensure a licensed health professional is available to respond to
a question or situation outside the scope of the non-clinical staff
member making post-discharge calls.
• Schedule follow-up appointments and additional care providers
such as home healthcare prior to discharge.
• If feasible, patients should leave the hospital with all their
prescriptions filled to avoid delays in beginning new drug regimens.
• Consider collaborating with pharmacists to assist with condition
management and medication teaching.
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