scholarly journals Patient education materials to implement choosing wisely recommendations for internal medicine at the emergency department

2021 ◽  
Vol 10 (1) ◽  
pp. e000971
Author(s):  
Bart J Laan ◽  
Willemijn B Huiszoon ◽  
Frits Holleman ◽  
Marja A Boermeester ◽  
Karin A H Kaasjager ◽  
...  
Keyword(s):  
Internal Medicine ◽  
The Netherlands ◽  
Patient Information ◽  
Urinary Catheter ◽  
Baseline Period ◽  
Choosing Wisely ◽  
Information Leaflet ◽  
Intervention Period ◽  
Patient Information Leaflets ◽  
Information Leaflets

BackgroundChoosing Wisely aims to reduce low-value care to improve quality and lower costs. In the Netherlands, this campaign offers three recommendations for internal medicine applicable in emergency departments (EDs): (1) do not place an indwelling urinary catheter in non-critically ill patients who can void; (2) do not order plain abdominal radiographs in patients with acute abdominal pain; and (3) discuss whether treatment limitations are needed. This quality improvement project aims to increase the implementation of the recommendations by patient information leaflets.MethodsIn a prospective before–after study, we collected data every other week during baseline and intervention periods (both 7 months) in two university medical centres. The primary outcomes were the adherence rates to the recommendations.Results805 patients visited the EDs for internal medicine, of whom 391 (48.6%) were hospitalised. Only 153 (19%) patients received the information leaflet. We found no change in implementation rates of the recommendations after the introduction of the patient information leaflet. In the baseline period, 28 patients received a urinary catheter, of whom 5 (17.9%) had no appropriate indication, compared with 4 (25.0%) of 16 patients in the intervention period (p=0.572). Unnecessary abdominal X-ray occurred once in the baseline period and not in the intervention period. Treatment limitations were not reported in 13 (6.5%) of 200 hospitalised patients in the baseline period, and in 17 (8.9%) of 191 patients in the intervention period (p=0.373).ConclusionsPatient information leaflets did not increase the implementation of Choosing Wisely recommendations, which can be due to a high baseline rate and a poor dissemination of leaflets. Our ED seems not to be a practicable setting for dissemination of leaflets, since staff engagement was not possible due to high workload and shortage of qualified nursing staff in the Netherlands.

A comparative analysis of the lay-friendliness of Danish EU patient information leaflets from 2000 to 2012

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Inger Askehave ◽  
Karen Korning Zethsen
Keyword(s):  
Comparative Analysis ◽  
Patient Information ◽  
Patient Information Leaflet ◽  
General Interest ◽  
Information Leaflet ◽  
Empirical Results ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
The Subject ◽  
The Eu

Since becoming mandatory in the EU in 1992, the patient information leaflet (PIL) has been the subject of an on-going discussion regarding its ability to provide easily understandable information. This study examines whether the lay-friendliness of Danish PILs has improved from 2000 to 2012 according to the Danish consumers. A reproduction of a questionnaire study from 2000 was carried out. The responses of the 2012 survey were compared to those of the 2000 survey and the analysis showed that Danes are less inclined to read the PIL in 2012 compared to 2000 and that the general interest in PILs has decreased. The number of respondents who deem the PIL easy to read has gone down. According to Danish consumers, the lay-friendliness of PILs has not improved from 2000 to 2012 and a very likely explanation could be that the PIL as a genre has become far too regulated and complex to live up to its original intentions. On the basis of the empirical results the article furthermore offers suggestions for practice changes.

Patient information leaflet on mastoid surgery risks: assessment of readability and patient understanding

2013 ◽  
Vol 127 (11) ◽  
pp. 1078-1083 ◽  
Author(s):  
M B Pringle ◽  
B G Natesh ◽  
K M Konieczny
Keyword(s):  
Patient Information ◽  
Patient Information Leaflet ◽  
Quality Information ◽  
Information Leaflet ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Potential Risks ◽  
Risks Assessment ◽  
Patient Advice ◽  
Mastoid Surgery

AbstractIntroduction:It is important that patients have a good understanding of surgery-related risks, particularly for mastoid surgery, which exposes patients to the risk of very serious complications, despite addressing conditions which often have only minor symptoms.Materials and methods:A patient information leaflet describing the risks of mastoid surgery was prepared. However, the Hospital Patient Advice and Liaison Services team thought it was too long and complicated. It was introduced unchanged. Fifty-four consecutive mastoidectomy patients were given a questionnaire asking for their opinion of the leaflet. The leaflet was also assessed with readability formulae and the Ensuring Quality Information for Patients tool.Results and analysis:Ninety-eight per cent of respondents thought the leaflet's writing style was easy to understand. The majority (96 per cent) thought the length was ‘just right’. The 7 readability formulae used established readability at a grade 9 level (i.e. appropriate for a reading age of 13–15 years). The Ensuring Quality Information for Patients score was 87.5 per cent.Discussion:Despite the drive to simplify patient information leaflets, quite detailed information is sometimes required. A style which is too simple may be perceived as patronising and may encourage patients to underestimate potential risks. It is important to ask patients their opinion.

scholarly journals Patient information leaflets for extracorporeal shock wave lithotripsy: questionnaire survey

2012 ◽  
Vol 3 (5) ◽  
pp. 1-5 ◽  
Author(s):  
A Askari ◽  
I Shergill
Keyword(s):  
Shock Wave ◽  
Patient Information ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Specific Information ◽  
Information Leaflet ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Extracorporeal Shock Wave ◽  
Level Of Instruction

Summary Objectives To compare the level of information provided in extracorporeal Shock wave lithotripsy (ESWL) patient information leaflets in the London and East of England Deaneries Design All trusts in the London and East of England Deanery who offer an ESWL service were contacted and leaflets were compared Setting London and East of England Deanery Participants Alan Askari, Iqbal Shergill Main outcome measures Examination of key information that was communicated to ESWL patients via leaflets Results 12 trusts responded across the two deaneries. There was significant variation in the amount of information provided in the leaflets with some leaflets not containing an adequate level of instruction or information to patients Conclusions The authors propose that a national standardised information leaflet should be incorporated with the British Association of Urological Surgeons (BAUS) procedure specific information leaflet for ESWL procedures

Patient information leaflets: some pertinent guidelines

Radiography ◽  
1999 ◽  
Vol 5 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Linda Tutty ◽  
Geraldine O'Connor
Keyword(s):  
Patient Information ◽  
Patient Information Leaflets ◽  
Information Leaflets

scholarly journals Patient information leaflets to reduce antibiotic use and reconsultation rates in general practice: a systematic review

BMJ Open ◽  
2015 ◽  
Vol 5 (6) ◽  
pp. e007612-e007612 ◽  
Author(s):  
E. G. P. M. de Bont ◽  
M. Alink ◽  
F. C. J. Falkenberg ◽  
G.-J. Dinant ◽  
J. W. L. Cals
Keyword(s):  
Systematic Review ◽  
General Practice ◽  
Patient Information ◽  
Antibiotic Use ◽  
Patient Information Leaflets ◽  
Information Leaflets
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