Discharge Rounds: Implementation of a Targeted Intervention for Improving Patient Throughput on an Inpatient Medical Teaching Service
| Autor: | David Chia, Krisda H. Chaiyachati, Jeremy I. Schwartz, Andre N. Sofair |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Quality management MEDLINE Hospitals Community Efficiency Organizational 01 natural sciences 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Intervention (counseling) Internal Medicine Humans Medicine 030212 general & internal medicine Teaching Rounds 0101 mathematics Hospitals Teaching Retrospective Studies Service (business) business.industry 010102 general mathematics Internship and Residency Retrospective cohort study General Medicine Emergency department medicine.disease Quality Improvement Patient Discharge Connecticut Schedule (workplace) Medical emergency business |
| Zdroj: | Southern Medical Journal. 109:313-317 |
| ISSN: | 0038-4348 |
| Popis: | OBJECTIVES Patient throughput and early discharges are important for decreasing emergency department wait times and creating available beds for new hospital admissions. The educational schedule of internal medicine trainees can interfere with timely discharges, but targeted interventions can help residents meet the hospital's patient flow needs. Our training program instituted daily morning discharge rounds on the inpatient service, requiring each team to prepare potential discharges 1 day ahead and prioritizing these discharges the next day. METHODS We conducted a retrospective, pre-post analysis 1 month before and 3 months after implementation in August 2013 to assess discharge order entry times, the proportion of discharges before 11:00 am, and hospital departure times. RESULTS One month post-implementation, discharge orders were entered 59 minutes earlier (from 1:07 pm to 12:08 pm; P = 0.001), the percentage of pre-11:00 am discharges increased from 21% to 39% (P |
| Databáze: | OpenAIRE |
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