A Multidisciplinary Initiative to Increase Inpatient Discharges Before Noon
A Multidisciplinary Initiative to Increase Inpatient Discharges Before Noon
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DOI：
10.1097/nna.0000000000000418
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发表时间：
2016-12-01
影响因子：
2
通讯作者：
Welton, Mark
中科院分区：
文献类型：
--
作者：
Kane, Marlena;Weinacker, Ann;Welton, Mark
目的：本研究的目的是评估2种医院范围内的干预措施对实现中午前出院率40%的影响。背景：一个由行政和医生领导的多学科团队制定了一项计划，通过使用2种患者流量管理技术最大限度地减少下午晚些时候的医院出院，来减少容量限制。该研究是一项干预前/干预后回顾性分析，观察了一家拥有484张床位的学术教学医院19个住院单位出院的所有住院患者，测量了日历月中午前出院的百分比，患者满意度和再入院率。患者满意度和再入院率被用作基线指标。结果：中午前出院的百分比从干预前11个月的14%增加到干预后11个月的平均24%，而患者满意度评分和再入院率保持稳定。2项干预措施的实施成功地增加了中午前出院的百分比，但没有达到40%的目标。患者满意度和再入院率没有受到该计划的负面影响。
OBJECTIVE: The aim of this study is to evaluate the effect of 2 hospital-wide interventions on achieving a discharge-before-noon rate of 40%.BACKGROUND: A multidisciplinary team led by administrative and physician leadership developed a plan to diminish capacity constraints by minimizing late afternoon hospital discharges using 2 patient flow management techniques.METHODS: The study was a preintervention/postintervention retrospective analysis observing all inpatients discharged across 19 inpatient units in a 484-bed, academic teaching hospital measuring calendar month discharge-before-noon percentage, patient satisfaction, and readmission rates. Patient satisfaction and readmission rates were used as baseline metrics.RESULTS: The discharge-before-noon percentage increased from14% in the 11-month preintervention period to an average of 24% over the 11-month postintervention period, whereas patient satisfaction scores and readmission rates remained stable.CONCLUSIONS: Implementation of the 2 interventions successfully increased the percentage of discharges before noon yet did not achieve the goal of 40%. Patient satisfaction and readmission rates were not negatively impacted by the program.