All 9 Discharge Survey Questions
Nine questions focused specifically on the discharge experience, not the overall hospital stay. That distinction matters. A patient can have an excellent clinical experience and still leave confused about their medications or unsure who to call if something goes wrong. This template captures those gaps before they turn into readmissions.
Question 2 (confidence going home) is the most important readmission predictor. Question 7 (concerns addressed before leaving) is your key patient safety indicator. Both should go into your clinical governance dashboard.
Three Areas of Discharge Quality
Simple to Deploy, Immediately Actionable
Your Discharge Quality Dashboard
After 88 patients responded following discharge from a general medical ward, the medication explanation and transport support scores were the clear gaps. A pharmacist-led discharge medication review introduced the following month lifted Q3 scores by 0.9 points over the next quarter:
Frequently Asked Questions
Is this patient discharge survey template free?
How is this different from a general patient satisfaction survey?
Can NHS trusts use this for Friends and Family Test purposes?
When should we send this survey?
What is a 30-day readmission and how does this survey help?
Should this survey be anonymous?
Can carers complete this on behalf of the patient?
Can community and intermediate care services use this?
Catch the gaps before patients go home
9 questions. Safe discharge evidence. Clinical governance ready.
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