Hospital patient discharge process: an evaluation

• Published in: European journal of hospital pharmacy. Science and practice 2017-09, Vol.24 (5), p.278-282
• Main Authors: Bullock, Sally, Morecroft, Charles W, Mullen, Rachel, Ewing, Alison B
• Format: Article
• Language: English
• Subjects: Communication; Drug stores; Hospitals; Interviews; Medical errors; Original; Patients; Pharmaceuticals; Primary care; Qualitative research; Studies
• ISSN: 2047-9956; 2047-9964
• DOI: 10.1136/ejhpharm-2016-000928

ObjectivesMedication discrepancies for patients after discharge from hospital are well documented. They have been shown to cause unnecessary harm to patients and can result in hospital readmission. To improve patient discharge, the current process of discharging patients from hospital (the discharge process) needs evaluating to determine where and why medication issues occur. This study aimed to identify and evaluate the discharge process used in a range of acute National Health Service hospitals across the North West of England.MethodsThis qualitative study involved semi-structured telephone interviews with 13 chief pharmacists or an appropriately nominated member of the hospital pharmacy team. Thematic analysis of the transcribed interview data was performed. Data analysis revealed eight main themes which all impacted on the discharge process.ResultsThe study was successful in identifying the discharge process across the range of hospitals as well as key issues and examples of good practice. The hospitals involved in the study were found to have similar discharge processes with issues common to all. One significant finding was a lack of patient involvement in the discharge process.ConclusionsTo improve the patient discharge process, innovative solutions are required to overcome the current issues. In future work, the study findings will be used to develop a new model of care for patient discharge from hospital.