Transforming Hospital Care
Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists
Article first published online: 20 DEC 2006
Copyright © 2006 Society of Hospital Medicine
Journal of Hospital Medicine
Volume 1, Issue 6, pages 354–360, November/December 2006
How to Cite
Halasyamani, L., Kripalani, S., Coleman, E., Schnipper, J., van Walraven, C., Nagamine, J., Torcson, P., Bookwalter, T., Budnitz, T. and Manning, D. (2006), Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists. J. Hosp. Med., 1: 354–360. doi: 10.1002/jhm.129
- Issue published online: 20 DEC 2006
- Article first published online: 20 DEC 2006
- Manuscript Accepted: 6 AUG 2006
- Manuscript Revised: 1 AUG 2006
- Manuscript Received: 28 MAR 2006
- John A. Hartford Foundation
- NIH career development award. Grant Number: K23 HL077597
- NHLBI career development award
- care standardization;
- continuity of care transition and discharge planning;
- multidisciplinary care
Discharge from the hospital is a critical transition point in a patient's care. Incomplete handoffs at discharge can lead to adverse events for patients and result in avoidable rehospitalization. Care transitions are especially important for elderly patients and other high-risk patients who have multiple comorbidities. Standardizing the elements of the discharge process may help to address the gaps in quality and safety that occur when patients transition from the hospital to an outpatient setting.
The Society of Hospital Medicine's Hospital Quality and Patient Safety committee assembled a panel of care transition researchers, process improvement experts, and hospitalists to review the literature and develop a checklist of processes and elements required for ideal discharge of adult patients. The discharge checklist was presented at the Society of Hospital Medicine's Annual Meeting in April 2005, where it was reviewed and revised by more than 120 practicing hospitalists and hospital-based nurses, case managers, and pharmacists. The final checklist was endorsed by the Society of Hospital Medicine.
The finalized checklist is a comprehensive list of the processes and elements considered necessary for optimal patient handoff at hospital discharge. This checklist focused on medication safety, patient education, and follow-up plans.
The development of content and process standards for discharge is the first step in improving the handoff of care from the inpatient to the posthospital setting. Refining this checklist for patients with specific diagnoses, in specific age categories, and with specific discharge destinations may further improve information transfer and ultimately affect patient outcomes. Journal of Hospital Medicine 2006;1:354–360. © 2006 Society of Hospital Medicine.