1. Resources
1.1. Existing leaflets (BCH)
1.1.1. All up to date?
1.1.2. Most commonly accessed
1.1.3. Availability in different types
1.1.3.1. Large print
1.1.3.2. Languages available immediately (3 weeks from PIL people)
1.1.4. Given how?
1.1.4.1. Physically at end of consultation
1.1.4.2. Link to website?
1.1.4.3. QR code
1.2. Public Resources
1.2.1. patient.co.uk
1.2.2. parenting.net.au
1.2.3. YouTube?
1.2.4. Others
1.3. National collaboration?
2. THE PERFECT DISCHARGE INFO
2.1. Central Hub
2.1.1. Website
2.1.2. App based
2.2. Generic Discharge Advice
2.3. Multimedia
2.4. Injury/Illness Specific
2.4.1. Specialist Input
2.4.1.1. PT
2.4.1.2. OT
2.4.1.3. etc.
2.4.2. Longer term advice e.g. concussion mx
2.5. Paper-Free
2.6. Accessible
2.6.1. Language
2.6.2. Education Level
2.6.3. Age
3. Measuring Impact
3.1. Clinical Outcomes
3.1.1. Time to recovery
3.1.2. Reduced morbidity e.g from injury
3.1.3. Return to school
3.2. Department Outcomes
3.2.1. Cost
3.2.1.1. Delayed rx
3.2.1.2. Repeat rx
3.2.2. Reduced re-attendance rates
4. Stakeholders
4.1. Clinicians
4.1.1. Where to access info
4.1.2. What info to give
4.1.3. Alternative to 'standard' leaflets available
4.2. Patients
4.2.1. Literacy level
4.2.2. Language
4.2.3. Communication difficulties
4.2.3.1. Visually impaired
4.2.3.2. Hearing impaired
4.2.3.3. 1st Language
4.2.4. Infant/Toddler/Child/Adolescent
4.2.5. Parents/carers/school
5. Standards/Best Practice Guidelines
5.1. RCEM 2017: Giving Information to Patients in the ED
5.1.1. Discharge advice should be available in a format that is appropriate for the patient, and quality of the writing and production should be high (i.e. printed and legible). All patients should receive discharge advice in both written and verbal formats, and this should be documented in the clinical record.
5.1.2. Written advice should be freely available andit is helpful to have standard advice openly accessible to everyone on the organisation’s internet site, as well as openly available in printed format within the department.
5.1.3. Generic discharge information, made bespoke appropriately, should be given; this should include: - Advice about pain relief and prescriptions given by the ED - Advice about fitness to work and fitness to drive - Further appointments and follow-up arrangements - Injury or illnesses specific information (often on a separate leaflet) - Advice about symptoms or signs that should prompt further assessment - Contact information for both the ED and patient advice/liaison service
5.2. RCPCH 2018: Facing the Future: Standards for children in emergency care settings
5.2.1. Children and their parents/carers must be provided, at the time of their discharge, with both verbal and written safety netting information, in a form that is accessible and that they understand.
5.2.1.1. METRICS: - Evidence that verbal safety netting information is provided. - Evidence that written safety netting information is provided. - Evidence that other formats of information are provided. - Evidence that the child and parent/carer understands the information being provided.
5.2.2. Registered practitioners treating children in the emergency department deliver health promotion and accident prevention advice that is recorded in discharge summary notes.
5.2.2.1. METRICS: - Evidence of health promotion advice recorded in discharge summary notes.