A systematic review of criteria-led patient discharge

Liz Lees-Deutsch, Jane Robinson

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)
    1893 Downloads (Pure)

    Abstract

    BACKGROUND: This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.

    PURPOSE: Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection.

    METHODS: A systematic review was conducted to identify literature on criteria-led discharge from 2007 to 2017. The quality of articles was appraised using a tool for disparate studies. Two reviewers extracted relevant data independently.

    RESULTS: Fifteen studies were identified that showed no increase in patient readmission or complication rates with criteria-led discharge, demonstrating patient safety. The quality of the patient discharge was unremarkable. None of the studies showed an increase in length of stay.

    CONCLUSIONS: The safety, quality, and length of stay for patients discharged through criteria-led discharge are inextricably linked to the process adopted for its implementation.

    Original languageEnglish
    Pages (from-to)121-126
    Number of pages6
    JournalJournal of Nursing Care Quality
    Volume34
    Issue number2
    Early online date11 Sept 2018
    DOIs
    Publication statusPublished - Apr 2019

    Keywords

    • Humans
    • Length of Stay
    • Patient Discharge/standards
    • Patient Readmission
    • Patient Selection
    • Time Factors

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