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Hospital officials said Dr. Mejia had written in some records, after patients were sent home, that the patients had been given a standard discharge instruction, that if they had a sudden weight gain, it could be a sign of trouble.
However, a prerequisite for the effectiveness of written discharge instruction is a sufficient literacy level of the recipient.
In addition, the Hawthorne effect may have been a factor in this study, as both the patient and the physician were aware of the observers during the discharge instruction process.
Our objectives were to: (1) investigate associations between functional health literacy (FHL) and ED discharge instruction adherence in Spanish-speaking populations, and (2) compare the ED adherence rates of Spanish speakersto English speakers.
They were asked to note the time of return of pain on a discharge instruction sheet.
In one recent study, an insulin-specific discharge instruction form provided greater clarity and more consistent directions for insulin dosing and self-testing of BG in comparison with a generic hospital discharge form (159).
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In addition, hospitals cannot guarantee patient compliance with discharge instructions.
Many factors contribute to the problem, like poor communication, inadequate discharge instructions, spotty information transfer and delayed outpatient follow-up.
Dr. Robert Press, chief medical officer at N.Y.U., credited measures like a partnership with the Visiting Nurse Service of New York and giving written discharge instructions to patients.
And hospitals are not assuming that personnel in nursing homes and other facilities know how to properly care for their patients and follow the hospital discharge instructions.
But first, Colleen McIlvennan, a clinic nurse specialist in the hospital's advanced heart failure unit, needed to review his discharge instructions.
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CEO of Professional Science Editing for Scientists @ prosciediting.com