Abstract
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.
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.
Original language | English |
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Pages (from-to) | 140-146 |
Number of pages | 7 |
Journal | Journal of Nursing Care Quality |
Volume | 35 |
Issue number | 2 |
DOIs | |
Publication status | Published - 10 Jul 2019 |
Bibliographical note
Publisher Copyright:© 2019 Wolters Kluwer Health, Inc.
Keywords
- acute medicine
- criteria-led discharge
- patient discharge
- patient flow
- patient selection
ASJC Scopus subject areas
- Nursing(all)