Background: Written discharge instructions improve patient understanding and self-management after hospitalization, and they are an evidence-based practice to improve patient understanding. However, over the past three decades, studies have shown that patients have poor understanding and routinely overestimate their understanding of provider recommendations, placing them at higher risk for adverse medication events and hospital readmissions. [...]

Background: Patient-reported measures including health confidence correlate with health outcomes, such as hospital utilization and post-acute care (PAC) needs within research settings. A more recent approach has been to develop learning health systems (LHS) with these measures to incorporate research findings into clinical care at a rapid rate. We have found that a measure of [...]