Discharge should not leave patients guessing
AHRQ describes discharge from hospital to home as a transfer of information that should help reduce adverse events and prevent avoidable readmissions. Patients and families should understand the plan before they are expected to manage it alone.
The five high-value areas
AHRQ's IDEAL discharge planning framework highlights home expectations, medication review, warning signs, test results, and follow-up appointments as major areas to discuss with patients and families.
- What life at home should look like.
- Which medications changed and why.
- What warning signs require action.
- Which test results are complete or pending.
- Which follow-up appointments are needed and when.
Caregivers and support people matter
When a patient is in pain, sedated, nauseated, frightened, or cognitively overloaded, a support person can help write down instructions, ask for teach-back, confirm medication changes, and capture contact information.