Patient Experience at Discharge: A Quality Improvement Study in an Armed Forces Hospital, Saudi Arabia.

Noha Almohaisen, Alexander Woodman, Muhammad Hasan Abid, Ohood Saad AlGhazali, Noura Alnowaiser
Author Information
  1. Noha Almohaisen: Medical Services Department, Ministry of Defense, Riyadh, Saudi Arabia. ORCID
  2. Alexander Woodman: King Fahad Military Medical Complex, Ministry of Defense Health Services, Dhahran, Saudi Arabia.
  3. Muhammad Hasan Abid: Continuous Quality Improvement and Patient Safety Department, Armed Forces Hospitals Administration, Taif, Saudi Arabia. ORCID
  4. Ohood Saad AlGhazali: Data Management Department, King Abdulaziz Airbase Hospital, Dhahran, Saudi Arabia.
  5. Noura Alnowaiser: Directorate of Health Services, Ministry of Defense, Riyadh, Saudi Arabia.

Abstract

Over the past decade, the health sector of Saudi Arabia has been undergoing a major transformation. This pilot research aimed to improve the patient experience (PX) at discharge by at least 2 scores within 2 years at a King Abdul Aziz Armed Forces Hospital (KAAB-AFH), Dhahran, in Saudi Arabia. The project was planned, executed, monitored, and closed through five Plan-Do-Study-Act cycles from Q2 2019 to Q2 2023. Discharge planning Include, Discuss, Educate, Assess, and Listen model, Teach Back technique, and Re-Engineered Discharge model, and Patient Education Materials Assessment Tool were used. The mean PX score at discharge improved from 86.80 (SD ±1.89) to 89.72 (SD ±1.77) ( = 0.02), the discharge speed PX score by 4.36 points ( = 0.05), and the PX score for the clearness of instructions at discharge increased by 2.75 points ( = 0.01). This PX quality improvement research project resulted in a significant improvement in patients' understanding of their health status, increased adherence to discharge procedures, and a sustained improvement in the quality of care.

Keywords

References

  1. Ann Intern Med. 2009 Feb 3;150(3):178-87 [PMID: 19189907]
  2. AMA J Ethics. 2016 Jan 01;18(1):40-4 [PMID: 26854635]
  3. JAMA Netw Open. 2021 Aug 2;4(8):e2119346 [PMID: 34448868]
  4. Health Serv Insights. 2022 Sep 3;15:11786329221121214 [PMID: 36081830]
  5. Milbank Q. 2004;82(3):457-81, table of contents [PMID: 15330973]
  6. J Patient Exp. 2020 Dec;7(6):906-910 [PMID: 33457518]
  7. Ann Palliat Med. 2020 May;9(3):1198-1205 [PMID: 32498535]
  8. Nurs Manage. 2019 Nov;50(11):28-32 [PMID: 31688543]
  9. Implement Sci. 2008 Jun 03;3:33 [PMID: 18522742]
  10. Health Aff (Millwood). 2014 Sep;33(9):1531-9 [PMID: 25201657]
  11. J Gen Intern Med. 2010 Aug;25(8):878-81 [PMID: 20443072]
  12. Patient Educ Couns. 2014 Sep;96(3):395-403 [PMID: 24973195]
  13. Patient Educ Couns. 2018 Mar;101(3):490-496 [PMID: 28899713]
  14. BMJ Open Qual. 2022 Aug;11(3): [PMID: 35998981]
  15. Fed Pract. 2019 Jun;36(6):284-289 [PMID: 31258322]
  16. Eur J Hosp Pharm. 2017 Nov;24(6):338-342 [PMID: 31156968]
  17. PLoS One. 2020 Apr 14;15(4):e0231350 [PMID: 32287296]
  18. BMJ Open. 2019 Aug 27;9(8):e031297 [PMID: 31462486]
  19. J Am Coll Cardiol. 2012 Aug 14;60(7):607-14 [PMID: 22818070]
  20. Arch Phys Med Rehabil. 2013 Jan;94(1):201-8 [PMID: 22889756]
  21. Prof Case Manag. 2022 Jul-Aug 01;27(4):181-193 [PMID: 35617533]
  22. Healthcare (Basel). 2020 Dec 25;9(1): [PMID: 33375693]
  23. BMJ Qual Improv Rep. 2015 Apr 30;4(1): [PMID: 26734368]
  24. BMJ Open. 2013 Jan 03;3(1): [PMID: 23293244]
  25. J Grad Med Educ. 2013 Sep;5(3):385-93 [PMID: 24404300]

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