Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
Caregivers' Knowledge of Emergency Department Discharge Instructions Improves With the Use of Video
Previous studies demonstrate that patients often have difficulty understanding their
 discharge instructions. Video discharge instructions have the potential to mitigate factors
 such as illiteracy and limited physician time, which may affect comprehension. Our goal is to
 determine if adding video discharge instructions affects caregivers' understanding of their
 child's emergency department (ED) visit, plan and follow-up.
Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or
 diarrhea, and wheezing or asthma were randomized into written or video discharge instruction
 groups. In the ED, caregivers read standard written discharge instructions or watched a
 3-minute video based on their child's diagnosis. They were then asked questions regarding
 information covered in these instructions. After completing the 20-point questionnaire,
 standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after
 discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also
 assessed.
Inclusion Criteria:

 -  caregivers of pediatric patients age 29 days to 18 years old diagnosed with wheezing
 or asthma exacerbation, fever, or vomiting and/or diarrhea.

 Exclusion Criteria:

 -  Caregivers of patients who were critical in the ED,

 -  Admitted to the hospital, or given an alternate diagnosis prior to discharge were
 excluded from the study.

 -  Also, non-English speaking caregivers were excluded.