Patient Discharge Instructions

From Galen Healthcare Solutions - Allscripts TouchWorks EHR Wiki
Jump to: navigation, search

EBSCO Publishing’s Patient Education Reference Center™ (PERC) Phase One discharge instructions can now be accessed using MEDITECH’s Patient Discharge Instruction Interface (PDII), accessible through MEDITECH’s ED Manager, Physician Desktop, Patient Care System, and Nursing Status Board (Magic environments only) applications. It is supported in all three MEDITECH architectures, including 6.0, Client Server, and Magic. Client Server and Magic require release 5.64 or greater.

Features included are:

> User customization of standard content, using copy, modify, and retain features.

> Ability to add supplemental text and personalized instructions for individual patients.

> Filter patient discharge instructions by Category, Chief Complaint, Problem List, and Key Word search.

> Seamless, IP-authenticated access.

> View and full print capability.

> Future retrieval of historic documents.

> Electronic audit trail.

> Formatted header record including the organization’s logo, with the ability to support multiple facilities.

Phase One includes:

> Emergency Department Discharge Instructions

> Inpatient Discharge Instructions

> How-to and Home Care Instructions

> Drug Fact Sheets

> Diet Sheets

PERC can be integrated once the organization has the MEDITECH Patient Discharge Instruction Interface (PDII). A PERC subscription from EBSCO is required (includes the integration of all document types from Phase One, and those expected from Phase Two). Also required is a physical or virtual Content Server.


> Discharge Instructions Search - To search for discharge instructions when using 6.x, the clinician can use both the Clinical Impression and the Chief Complaint criteria. For C/S and MAGIC, only one of the two criteria may be used.

> Discharge Instruction “Patient Context” Filters - To default for C/S architecture use the Discharge Instruction name. If the user does not enter text, and the patient has a Chief Complaint or Clinical Impression with associated instructions, the default will be to name lookup with the suggested instruction at the top of the list. For MAGIC architecture, any word entered by the clinician triggers the default to the Discharge Instruction Look-up table. If the user does not enter text, and the patient has a Chief Complaint OR Clinical Impression (only one allowed) with associated instructions, the default is to the suggested instructions.

> Documenting Patient Acknowledgement - To document patient understanding of the instructions, the educator provides a hardcopy signature sheet to the patient. This is signed and retained in the patient chart.