Ricky Regalbuto|Mathew S. Maurer|David Chapel|Jenniliz Mendez|Jonathan A. Shaffer
Joint Commission Requirements for Discharge Instructions in Patients With Heart Failure: Is Understanding Important for Preventing Readmissions?
Columbia University Irving Medical Center|New York Hospital Queens|NewYork–Presbyterian Hospital|Columbia University Irving Medical Center|New York Hospital Queens|NewYork–Presbyterian Hospital|Columbia University Irving Medical Center|New York Hospital Queens|NewYork–Presbyterian Hospital|Columbia University Irving Medical Center|New York Hospital Queens|NewYork–Presbyterian Hospital|Columbia University Irving Medical Center|New York Hospital Queens|NewYork–Presbyterian Hospital
many approaches considered reduce heart failure hf readmissions joint commission accreditation health care organizations jc requires hospitals provide patients admitted hf discharge instructions address 6 topics related hf management diet exercise weight monitoring worsening symptoms medications followup appointments guidelines developed based expert opinion one tested whether patients understanding instructions affects 30day readmission rateswe conducted prospective cohort study patients admitted decompensated hf patients completed understanding survey immediately nurse read discharge papers survey contained 1 question 6 jc topics 145 patients study 14 10 understood 6 discharge instructions patients complete comprehension discharge instructions significantly less likely readmitted within 30 days nonperfect understanding p 044 association longer significant controlling level education use english primary languagehf patients comprehension discharge instructions inadequate patients limited education speak english primary language likely poorer discharge understanding higher rates 30day readmissions