Improving Patient Experience Through Health Literacy Alexandra Daria Elim Simone
UNDERSTANDING
P A T I E N T EMPOWERMENT “ “ I feel that doing this is relevant for me Meaningfulness refers to the value of the activities judged in relation to the individual’s own ideal of life.
“ “ I am able to do this Self effjcacy is the belief in one’s capabilities to produce desired results by one’s actions.
“ “ I can make a difference Impact means the accomplishment of a task is perceived to make a difference in the scheme of things.
“ “ I have choices Self-determination refers to a decision that is characterized by autonomous initiation and is self-determined.
CLINICAL IMPACT OF MEDIC ATION DISCREPANCIES 21.8% 27 .2% of potential to require a greater patient supervision of the errors 21.8% were of clinical importance 6.4% 6.4% of potential to cause patient harm
36 spent on explaining print information. min / p a t i e n t
HEALTH LITERACY TO NON-ADHERENCE Medication Discrepancy 1 resulted from 4 choosing not to follow their discharge medication instructions
above 6th-grade reading g r a d e l e v e l
PROBLEM Currently, information at the hospital leads to unintentional miscommunication.
OBJECTIVES PRIMARY To create a positive patient experience through a cohesive information system. SECONDARY To make the system informative, reproducible, and adaptable.
APPROACHES Confusion with wayfjnding remedied by clear map and address. Creating a cohesive visual system. Minimizing the uncertainty surrounding the clinic. Information is more empathetic to individual. Visually engaging materials designed for retention. Encouraging patient independence.
How might we change this routine?
B E F O R E PROCEDURE ? Doctor Visit Consultation Preparation
ON DAY OF PROCEDURE Procedure Transportation Find Clinic Clinical Prep
A F T E R PROCEDURE Discharge
Bibliography Abts, N., A. Hernandez, S. Caplan, A. Z. Hettinger, E. Larsen, and V. R. Lewis. “When Human Factors and Design Unite: Using Visual Language and Usability Testing to Improve Instructions for a Home-use Medication In fusion Pump.” Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare 3.1 (2014): 254-60. SAGEjournals. Human Factors and Ergonomics Society. Web. 17 May 2015. <http://hcs. sagepub.com/content/3/1/254.short>. Albrecht, J. S., A. L. Gruber-Baldini, J. M. Hirshon, C. H. Brown, R. Goldberg, J. H. Rosenberg, A. C. Comer, and J. P . Furuno. “Hospital Discharge Instructions: Comprehension and Compliance Among Older Adults.” Journal of General Internal Medicine (2014): 1491-498. SpringerLink. Society of General Internal Medicine. Web. 20 May 2015. <http://link.springer.com/article/10.1007/s11606-014-2956-0>. Lindquist, Lee A., Lise Go, Jori Fleisher, Nelia Jain, Elisha Friesema, and David W. Baker. “Relationship of Health Literacy to Intentional and Unintentional Non-Adherence of Hospital Discharge Medications.” Journal of General Internal Medicine 27.2 (2011): 173-78. SpringerLink. Society of General Internal Medicine. Web. 18 May 2015. <http://link.springer.com/article/10.1007/s11606-011-1886-3>. Quélennec, Baptiste, Laurence Beretz, Dominique Paya, Jean Frédéric Blicklé, Bénédicte Gourieux, Emmanuel Andrès, and Bruno Michel. “Potential Clinical Impact of Medication Discrepancies at Hospital Admission.” Eu ropean Journal of Internal Medicine (2013): 530-35. ScienceDirect. Web. 19 May 2015. <http://www.sci encedirect.com/science/article/pii/S0953620513000502>. Schulz, Peter J., and Kent Nakamoto. “Health Literacy and Patient Empowerment in Health Communication: The Importance of Separating Conjoined Twins.” Patient Education and Counseling 90.1 (2012): 4-11. ScienceDi rect. Web. 18 May 2015. <http://www.sciencedirect.com/science/article/pii/S0738399112003795>.
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