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Emergency department patient diagnostic communication: cohort study
  1. Arthur de Campos Soares1,
  2. Beatriz Soletti Pereira1,
  3. Alexandra Freitas2,
  4. Michelle Garcia Ferreira de Oliveira1,
  5. Felipe Couto Amendola1,
  6. Lucas de Moraes Soler3,
  7. Ian Ward Abdalla Maia1,
  8. Sabrina Correa Costa Ribeiro1,
  9. Heraldo Possolo Souza1 and
  10. Júlio César Garcia Alencar1,4
  1. 1Emergências Clínicas, FMUSP, Sao Paulo, Brazil
  2. 2Clínica Médica, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
  3. 3Nefrologia, UNESP Campus de Botucatu, Botucatu, Brazil
  4. 4Odontopediatria, ortodontia e saúde coletiva, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, São Paulo, Brazil
  1. Correspondence to Felipe Couto Amendola, FMUSP, Sao Paulo, Brazil; felipeamendola9{at}gmail.com

http://dx.doi.org/10.1136/spcare-2023-004666

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    Introduction

    Emergency physicians frequently provide care for patients with acute and life-threatening illnesses, and the effectual exchange of information is critically important.1 Effective communication empowers patients, and improves satisfaction, compliance with medical instructions and outcomes.1

    Meanwhile, communication failures are frequent in emergency department (ED).2 The whys are complex, and reflect countless factors, such as anxious and fearful patients, overworked physicians, exhausted healthcare teams and a time-pressured and stressful environment.2

    The purpose of this paper is to go back to basics, and to determine whether patients admitted to the hospital through the ED know their diagnosis for hospitalisation.

    Methods

    This cohort study included all patients 18 years and older admitted to the hospital through the ED and hospitalised for less than 24 hours between 1 July and 1 August 2022, at Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil.

    Twenty-four hours after admission, we interviewed all patients and asked if they knew about the diagnosis or …

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    Footnotes

    • Contributors AdCS, IWAM, HPS and JCGA were involved in planning and supervised the work. HPS obtained research funding. AdCS, BSP, AF, MGFdO and IWAM undertook recruitment of participating centers and patients and managed the data, including quality control. AdCS and JCGA drafted the manuscript and designed the tables. AdCS and JCGA performed the statistical analysis. All authors discussed the results and commented on the manuscript. JCGA takes responsibility for the paper as a whole.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.