Increasing and sustaining discharges by noon – a multi-year process improvement project

Autor:	Ryan Bailey, Ankur Segon, Sean Garcia, Saket Kottewar, Ting Lu, Nelson Tuazon, Lisa Sanchez, Jonathan A. Gelfond, Gregory Bowling
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Patient discharge Hospitalist Length of stay Patient readmission Hospital capacity Multidisciplinary Public aspects of medicine RA1-1270
Zdroj:	BMC Health Services Research, Vol 24, Iss 1, Pp 1-10 (2024)
Druh dokumentu:	article
ISSN:	1472-6963
DOI:	10.1186/s12913-024-10960-x
Popis:	Abstract High hospital occupancy degrades emergency department performance by increasing wait times, decreasing patient satisfaction, and increasing patient morbidity and mortality. Late discharges contribute to high hospital occupancy by increasing emergency department (ED) patient length of stay (LOS). We share our experience with increasing and sustaining early discharges at a 650-bed academic medical center in the United States. Our process improvement project followed the Institute of Medicine Model for Improvement of successive Plan‒Do‒Study‒Act cycles. We implemented multiple iterative interventions over 41 months. As a result, the proportion of discharge orders before 10 am increased from 8.7% at baseline to 22.2% (p
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/cc9429445e7e43d9b190fc329ace18e9 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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