ED-PATCH

Refining the Emergency Department Patient-Activated Transition from Care to Home (ED-PATCH) tool: phase 1 of a mixed methods hybrid type 1 design study

Emergency Department Patient-Activated Transition to Care at Home (ED-PATCH) is a discharge communication tool that is activated and managed by patients or their caregivers to record important information shared during the ED visit. Patients receive ED-PATCH in the waiting room or immediately upon placement in the assessment room and use it to track important information throughout their visit. The tool is structured as a questionnaire that patients can fill out using a mobile device, with questions related to important information shared during the ED visit including

  1. Information about diagnosis;
  2. Details about treatments, tests and procedures;
  3. Reconciled and new medications;
  4. Treatment plans including expected course of illness, signs and symptoms to watch for and when to return to the ED.

A speech-to-text feature enhances access for patients with mobility barriers. Prior to discharge, the patient or caregiver shares the summary of their notes with an ED provider who confirms or clarifies the information captured. The patient-generated discharge summary is then available to be printed in the ED or sent electronically to the patient or caregiver to be added to their own personal health record.

The beta version of ED-PATCH was developed in a secure web application (Research Electronic Data Capture [REDCap]) and underwent minor revision during usability and feasibility testing. During Phase 1 of our 5-year trial, the ED-PATCH prototype will be further refined by our internal Intervention Development Working Group to function within the technical infrastructure of participating sites and align with pan-Canadian standards for healthcare information. The refined tool will then be evaluated in Phase 2 and 3 of the trial.