Developing a Process for Criteria-Led Discharge: Selection of Patients for Efficient and Effective Discharge (SPEED)
| Autor: | Liz Lees-Deutsch, Julia Jackson, Ariyur Balaji, Annie Topping |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities medicine.medical_specialty Time Factors Process (engineering) MEDLINE Acute medicine 03 medical and health sciences 0302 clinical medicine Clinical Protocols medicine Humans 030212 general & internal medicine Intensive care medicine General Nursing Selection (genetic algorithm) Retrospective Studies Inpatients Expediting 030504 nursing business.industry Patient Selection Retrospective cohort study Patient Discharge respiratory tract diseases Inter-rater reliability Observational study 0305 other medical science business |
| Zdroj: | Journal of nursing care quality. 35(2) |
| ISSN: | 1550-5065 |
| Popis: | Background Criteria-led discharge (CLD) is an approach for maximizing bed capacity by expediting patient discharge. Problem In acute medicine settings, patients commonly have multiple medical problems, which render single care pathway and clinical protocols of limited use. CLD offers potential, but little evidence exists about how to best implement it in these contexts. Approach Retrospective case note analysis generated characteristics from patients' discharge plans to design a criterion-based framework to aid patient selection for CLD. These criteria were hypothetically tested on patient case notes (n = 50). Outcomes CLD was identified as suitable (n = 27) and unsuitable (n = 23) from 50 case notes. Interrater agreement was 86% between 3 reviewers. Conclusions This review has provided greater understanding of the complexity of discharge in acute medicine settings. Implementing CLD to optimize timeliness of patient discharge might offer a solution for selected patients. |
| Databáze: | OpenAIRE |
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