%0 Journal Article
%T Improved Supervision and Safety of Discharges Through Formal Discharge Education
%A Emily A. Stewart
%A Jeffrey M. Riggio
%A Lily L. Ackermann
%J American Journal of Medical Quality
%@ 1555-824X
%D 2019
%R 10.1177/1062860618794283
%X The goal of this study is to evaluate change in residents¡¯ assessment of supervision and safety of the discharge process after formal discharge instruction education. An educational lecture and workshop addressing high-risk medications, medication reconciliation, follow-up, and handoffs were provided to internal medicine residents. Residents were given a longitudinal survey before and after the discharge education session. Significant improvement in perception was demonstrated in review of discharge instructions (P < .001), review of new medications/side effects with patients (P < .001), and review of discharge instructions with and receiving feedback from attending physicians (P < .001). On review of 40 discharge instructions pre and post intervention, there was an improvement in completion of instructions for high-risk medications (P < .05 [14 insulin, 26 anticoagulation]). This intervention was viewed positively by residents; more than two thirds of all residents favored a process of formal training over the current model of ¡°training by doing.
%K care transitions
%K resident medical education
%K patient safety
%U https://journals.sagepub.com/doi/full/10.1177/1062860618794283