Provided the complexity of managing dementia-related neuropsychiatric symptoms (NPS), accurate communication about these symptoms at hospital discharge is critical to facilitating safe and effective transitions, particularly transitions from hospitals to skilled nursing facilities (SNF), which are often poorly managed. Skilled nursing facilities providers have cited undercommunication regarding NPS as a major challenge that contributes to poor outcomes including rehospitalization. This multisite retrospective cohort study identified omission rates for NPS and associated management strategies in discharge communication as compared to medical record documentation in the 72 hours preceding discharge among hospitalized patients with dementia. High rates of omission were found across NPS and management strategies: anxiety (94%), agitation/aggression (77%), hallucinations (85%), 1:1 supervision (90%), high fall risk (89%), use of restraints (91%). Omission rate for new or modified antipsychotic medication was 12.9%. Findings underscore the need for additional research on cross-setting communication regarding care needs of patients with dementia—who often cannot communicate these needs on their own—in facilitating high-quality transitions.

鉴于管理痴呆相关神经精神症状 (NPS) 的复杂性，出院时关于这些症状的准确沟通对于促进安全有效的过渡至关重要，尤其是从医院到专业护理机构 (SNF) 的过渡，这通常管理不善。熟练的护理机构提供者认为，关于 NPS 的沟通不足是导致包括再住院在内的不良结果的主要挑战。与住院痴呆症患者出院前 72 小时的病历文件相比，这项多地点回顾性队列研究确定了 NPS 的遗漏率和出院沟通中的相关管理策略。在 NPS 和管理策略中发现高遗漏率：焦虑 (94%)、激动/攻击性 (77%)、幻觉 (85%)、1:1 监督 (90%)、高跌倒风险 (89%)、使用约束 (91%)。新的或改良的抗精神病药物的遗漏率为 12.9%。研究结果强调，需要对有关痴呆症患者护理需求的跨环境交流进行额外研究——他们通常无法自行交流这些需求——以促进高质量的过渡。