Improving Outcomes for Hospitalized Patients Pre- and Post-COVID-19

Author:

Hurtig Richard R.1ORCID,Alper Rebecca2,Altschuler Tami3,Gendreau Sarah4,Gormley Jessica5ORCID,Marshall Sarah6,Santiago Rachel7,Scibilia Stephanie8

Affiliation:

1. Department of Communication Sciences and Disorders, University of Iowa, Iowa City

2. Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA

3. Department of Speech-Language Pathology, Rusk Rehabilitation, NYU Langone Medical Center, New York, NY

4. Department of Speech, Language and Swallowing Disorders, Massachusetts General Hospital, Boston

5. Department of Speech-Language Pathology, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha

6. Communication Aids & Systems Clinic, Waisman Center, University of Wisconsin–Madison

7. Inpatient Augmentative Communication Program, Boston Children's Hospital, MA

8. Department of Speech, Language, and Swallowing Disorders, Massachusetts General Hospital, Boston

Abstract

Purpose Barriers to effective patient–provider communication increase the risk that a patient will experience a hospital-acquired condition (HAC) that will negatively impact the patient's health outcomes. Providing patients with communication tools can significantly reduce the risks of experiencing HACs. This article describes how barriers to effective patient–provider communication can impact patient outcomes and reports on the incidence of HACs in patients who received assistive technology to address barriers to patient–provider communication. This topic is of critical relevance, as the COVID-19 pandemic has dramatically increased the number of patients who face communication barriers and the accompanying challenges encountered by their health care providers. Method/Approach The researchers compared the number of expected HACs based on previously obtained data to the number of HACs reported among patients who received an assistive technology intervention. Additionally, the impact of COVID-19 on patient–provider communication was discussed through the provision of case descriptions from frontline speech-language pathologists who have worked in COVID-19 intensive care units. Results The patients who received the assistive technology intervention had a significantly lower incidence of HACs than what would be expected in hospital settings. Clinicians working directly with patients with COVID-19 identified suggestions on how both patients and providers can address the barriers to effective patient–provider communication. Conclusion A key to better patient outcomes and lower health care costs will require making the provision of communication tools part of the standard of care for all patients facing barriers to communication.

Publisher

American Speech Language Hearing Association

Subject

General Medicine

Reference34 articles.

1. Agency for Healthcare Research and Quality. (2019). AHRQ National Scorecard on Hospital-Acquired Conditions. https://www.ahrq.gov/hai/pfp/index.html

2. Patient-provider communication in the time of COVID-19: Tips from the front lines [Webinar];Altschuler T.;United States Society of Augmentative and Alternative Communication,2020

3. Communicating with nurses: The experiences of 10 adults with cerebral palsy and complex communication needs

4. Impact of patient communication problems on the risk of preventable adverse events in acute care settings

5. Intensive Care Nurses’ Experiences of Caring for Intubated Patients under Light Sedation: A Qualitative Study

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