Health Sciences Education Symposium

First Author Information

Nargiza Kurbanova, RN, BSN, Department of Internal Medicine, VCU Health System

Additional Author(s) Information

Amber Balzer, RN, MSN, AGACNP, Department of Internal Medicine, VCU Health System

Curtis Reiber, VCU School of Medicine

Sravya Uppalapati, VCU School of Medicine

Fatima Farooq, M.D., Department of Internal Medicine, VCU School of Medicine

Samantha Mathialagan, MHA, VCU School of Medicine

Priyanka Gwalani, M.D., Department of Internal Medicine, VCU School of Medicine

Rehan Qayyum, M.D., MHS, FAHA, Department of Internal Medicine, VCU School of Medicine

Presentation Format


Type of Activity


Original Presentation Date


Date of Submission

March 2019

Abstract/Short Description


  • Almost 20% of patients experience potentially preventable adverse events within 30 days of hospital discharge (Forster, et al, 2003).
  • The Agency for Healthcare Research and Quality recommends structured and patient-centered discharge communication to prevent adverse events post-discharge (2018).
  • The Joint Commission mandates information that must be included in all discharge communication including reason for hospitalization, significant findings, procedures and treatment provided, patient's discharge condition, patient and family instructions, and attending physician signature (Horwitz, et al, 2013).
  • There is limited data suggesting how healthcare providers believe discharge communication should be prioritized.
  • Blaine, et al, 2018 cites "Discharge Education/Teach-back" and "Involve Care Team" as the aspects perceived by providers as having the highest importance.
  • Sorita, et al, 2017 cites medical history, physical findings, cognitive and functional status at discharge, and rationale for medication changes to be “very important”
  • Patient satisfaction with discharge information strongly correlates to overall satisfaction with hospital care (Waniga, et al, 2016).
  • Surprisingly, there is no data on patient’s perceptions about discharge instruction elements and on the relative importance of discharge information.
  • One study demonstrated that 44% of patients felt that improvements were needed to the areas of formatting/layout, clarity, correcting discrepancies/omitted information (Corser, et al, 2017).
  • Determining how discharge information should prioritized may help to make discharge communication more patient-centered, and prevent readmissions and adverse events.


1. Agency for Healthcare Research and Quality. Readmissions and Adverse Events After Discharge. (2018). Retrieved from

2. Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003 Feb 4;138(3):161-7. PubMed PMID: 12558354.

3. Caceres JW, Alter SM, Shih RD, Fernandez JD, Williams FK, Paley R, Benda W, Clayton LM. Standardized Physician-Administered Patient-Centered Discharge Protocol Improves Patients' Comprehension. South Med J. 2017 May;110(5):359-362. doi: 10.14423/SMJ.0000000000000642. PubMed PMID: 28464178.

4. Waniga, H. M., Gerke, T., Shoemaker, A., Bourgoine, D., & Eamranond, P. (2016). The Impact of Revised Discharge Instructions on Patient Satisfaction. Journal of Patient Experience, 3(3), 64-68. doi:10.1177/2374373516666972. PMID: 28725840.


© The Author(s)

Is Part Of

VCU Medical Education Symposium