Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals

Patient experience when transitioning home from hospital is an important quality metric linked to improved patient outcomes. We evaluated the impact of a hospital-based care transition intervention, patient-oriented discharge summary (PODS), on patient experience across Ontario acute care hospitals....

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Published in:PloS one 2022-10, Vol.17 (10), p.e0268418-e0268418
Main Authors: Okrainec, Karen, Chaput, Audrey, Rac, Valeria E, Tomlinson, George, Matelski, John, Robson, Mark, Troup, Amy, Krahn, Murray, Hahn-Goldberg, Shoshana
Format: Article
Language:English
Subjects:
Admission and discharge
Biology and Life Sciences
Caregivers
Clustering
Communication
Confidence intervals
Cross-sectional studies
Design
Discharge planning
Evaluation
Hospitals
Medicine and Health Sciences
Patients
People and places
Quality management
Questions
Research and Analysis Methods
Social Sciences
Surveys
Transitional care
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container_start_page e0268418
container_title PloS one
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creator Okrainec, Karen
Chaput, Audrey
Rac, Valeria E
Tomlinson, George
Matelski, John
Robson, Mark
Troup, Amy
Krahn, Murray
Hahn-Goldberg, Shoshana
description Patient experience when transitioning home from hospital is an important quality metric linked to improved patient outcomes. We evaluated the impact of a hospital-based care transition intervention, patient-oriented discharge summary (PODS), on patient experience across Ontario acute care hospitals. We used a repeated cross-sectional study design to compare yearly positive (top-box) responses to four questions centered on discharge communication from the Canadian Patient Experience Survey (2016-2020) among three hospital cohorts with various levels of PODS implementation. Generalized Estimating Equations using a binomial likelihood accounting for site level clustering was used to assess continuous linear time trends among cohorts and cohort differences during the post-implementation period. This research had oversight from a public advisory group of patient and caregiver partners from across the province. 512,288 individual responses were included. Compared to non-implementation hospitals, hospitals with full implementation (>50% discharges) reported higher odds for having discussed the help needed when leaving hospital (OR = 1.18, 95% CI = 1.02-1.37) and having received information in writing about what symptoms to look out for (OR = 1.44, 95% = 1.17-1.78) post-implementation. The linear time trend was also significant when comparing hospitals with full versus no implementation for having received information in writing about what symptoms to look out for (OR = 1.05, 95% CI = 1.01-1.09).
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subjects Admission and discharge
Biology and Life Sciences
Caregivers
Clustering
Communication
Confidence intervals
Cross-sectional studies
Design
Discharge planning
Evaluation
Hospitals
Medicine and Health Sciences
Patients
People and places
Quality management
Questions
Research and Analysis Methods
Social Sciences
Surveys
Transitional care
title Raising the bar for patient experience during care transitions in Canada: A repeated cross-sectional survey evaluating a patient-oriented discharge summary at Ontario hospitals
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