Six Change Ideas that Significantly Minimize Alternate Level of Care (ALC) Days in Acute Care Hospitals
| Autor: | Kiki Ferrari, Terri Lynn Hansen, Daniel Ball, Jill Oliver, Cindy Hawkswell, Christopher Parkes, Francesca Fiumara, Paula Chidwick, Karyn Lumsden |
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| Rok vydání: | 2017 |
| Předmět: |
Patient Transfer
medicine.medical_specialty Quality management education Decision Making MEDLINE 03 medical and health sciences Patient safety 0302 clinical medicine Acute care Health care medicine Humans 030212 general & internal medicine Community Health Services Confusion Ontario business.industry 030503 health policy & services Length of Stay medicine.disease Home Care Services Quality Improvement humanities Patient Discharge Ethics Institutional Medical emergency Patient Safety medicine.symptom Level of care 0305 other medical science business Healthcare system |
| Zdroj: | Healthcare quarterly (Toronto, Ont.). 20(2) |
| ISSN: | 1710-2774 |
| Popis: | A significant issue affecting the healthcare system across Ontario is the number of patients admitted to hospitals that are then subsequently being designated alternate level of care (ALC). In 2016, 14.5% of Ontario in-patient beds were occupied by ALC-designated patients. Contributing to this phenomenon are ethical errors that can affect decision-making around discharge. Since 2012, William Osler Health System has redesigned their discharge process to eliminate ethical errors and align more fully with the Health Care Consent Act (HCCA) and the Public Hospitals Act (PHA). Through quality improvement processes including the use of scripting, education, checklists, mentoring and role clarity, Osler's ALC days are currently the lowest in the province of Ontario. The elimination of such errors also decreased patient confusion and improved the discharge experience. |
| Databáze: | OpenAIRE |
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