Relevant bibliographies by topics / Discharge of the patient

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Academic literature on the topic 'Discharge of the patient'

Author: Grafiati
Published: 4 June 2021
Last updated: 4 February 2022

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Journal articles on the topic "Discharge of the patient"

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Mueller, Stephanie K., Kyla Giannelli, Robert Boxer, and Jeffrey L. Schnipper. "Readability of patient discharge instructions with and without the use of electronically available disease-specific templates." Journal of the American Medical Informatics Association 22, no. 4 (April 16, 2015): 857–63. http://dx.doi.org/10.1093/jamia/ocv005.

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Abstract Objective Low health literacy is common, leading to patient vulnerability during hospital discharge, when patients rely on written health instructions. We aimed to examine the impact of the use of electronic, patient-friendly, templated discharge instructions on the readability of discharge instructions provided to patients at discharge. Materials and Methods We performed a retrospective cohort study of 233 patients discharged from a large tertiary care hospital to their homes following the implementation of a web-based “discharge module,” which included the optional use of diagnosis-specific templated discharge instructions. We compared the readability of discharge instructions, as measured by the Flesch Reading Ease Level test (FREL, on a 0–100 scale, with higher scores indicating greater readability) and the Flesch–Kincaid Grade Level test (FKGL, measured in grade levels), between discharges that used templated instructions (with or without modification) versus discharges that used clinician-generated instructions (with or without available templated instructions for the specific discharge diagnosis). Results Templated discharge instructions were provided to patients in 45% of discharges. Of the 55% of patients that received clinician-generated discharge instructions, the majority (78.1%) had no available templated instruction for the specific discharge diagnosis. Templated discharge instructions had higher FREL scores (71 vs. 57, P < .001) and lower FKGL scores (5.6 vs. 7.6, P < .001), compared to clinician-generated discharge instructions. Discussion The use of electronically available templated discharge instructions was associated with better readability (a higher FREL score and a lower FKGL score) than the use of clinician-generated discharge instructions. The main reason for clinicians to create discharge instructions was the lack of available templates for the patient’s specific discharge diagnosis. Conclusions Use of electronically available templated discharge instructions may be a viable option to improve the readability of written material provided to patients at discharge, although the library of available templates requires expansion.
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Beardsley, James R., Regina H. Schomberg, Steven J. Heatherly, and Beth S. Williams. "Implementation of a Standardized Discharge Time-out Process to Reduce Prescribing Errors at Discharge." Hospital Pharmacy 48, no. 1 (January 2013): 39–47. http://dx.doi.org/10.1310/hpj4801-39.

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Background To reduce prescribing errors occurring on discharge from the hospital, a standardized discharge time-out process was implemented on a general medicine service at Wake Forest Baptist Medical Center. In the time-out process, the multidisciplinary care team reviewed the patient's medical records together to determine the optimal discharge medication regimen. This regimen was recorded on a time-out form and then was used to develop the patient's discharge documents. Objective To evaluate the impact of a standardized discharge time-out process on prescribing errors that occur as patients are discharged from a general medicine service. Methods The medical records of all patients discharged from a general medicine service during 60-day periods before (“pre-group”) and after (“post-group”) implementation of a standardized discharge time-out process were retrospectively reviewed by an internal medicine physician to determine the presence of discharge prescribing errors. Results There were 142 and 124 evaluable patients in the pre- and post-groups, respectively. Compliance with the time-out process was 93% in the post-group. At least 1 prescribing error was detected in 49 (34.5%) of the discharges in the pre-group and 17 (13%) of the discharges in the post-group ( P < .0001). All of the errors noted in the post-group occurred in discharges in which a clinical pharmacist was not involved. Conclusions A multidisciplinary, standardized discharge time-out process was associated with a dramatic reduction in prescribing errors when patients were discharged from a general medicine service. The time-out process is one strategy to improve patient safety at hospital discharge.
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Williams, Teresa, and Gavin Leslie. "Delayed discharges from an adult intensive care unit." Australian Health Review 28, no. 1 (2004): 87. http://dx.doi.org/10.1071/ah040087.

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Objective: Intensive Care Unit (ICU) services are expensive, and therefore appropriate utilisation is imperative. Delayed discharges impact on the efficiency and effectiveness of ICU services. This study examines the prevalence and reasons for delayed discharge. Method: Cross sectional study. We enrolled a prospective sample of all patients admitted to a 22-bed ICU over a 6-month period. Medical staff in ICU informed nursing shift coordinators when patients could be discharged. Nursing shift coordinators maintained a record of discharge times, delays and reasons for delay. Discharge was considered delayed if the patient was not relocated from the ICU within 8 hours of being considered eligible by ICU medical staff. Results: Of 652 recorded discharges, 176 were delayed (27%). Unavailable ward beds (81%) were cited as the main reason for delay in discharge. Median delay time was 21.3 hours (range, 10 minutes to 26 days). These delays were predicted by greater patient acuity on ICU admission, patient deterioration while waiting for transfer to the ward, principal admitting diagnosis, discharge destination and weekend discharge. Conclusion: Improvement in bed management and discharge processes (the only factors directly controllable by the hospital) is essential to reduce delays in discharge from ICU. Reducing discharge delays would free up beds for other admissions; may result in a cost saving for the hospital through more efficient resource utilisation; and, ultimately, would benefit patients.
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Bowen, Alex, Rohit Kumar, John Howard, and Andrew E. Camilleri. "Nurse led discharge: improving efficiency, safely." Clinical Governance: An International Journal 19, no. 2 (April 1, 2014): 110–16. http://dx.doi.org/10.1108/cgij-03-2013-0007.

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Purpose – The purpose of this paper is to demonstrate that nurse led discharge (NLD) could improve the efficiency of simple discharges from a short stay surgical ward without compromising patient safety. Design/methodology/approach – A protocol for NLD was designed and implemented. Introduction of the protocol was audited and re-audited prospectively. Findings – Introduction of the nurse led discharge protocol significantly reduced the rate of delayed discharge (p>0.001). The protocol successfully identified all patients for whom a NLD would be inappropriate and no patients discharged by the nursing team were re-admitted. Research limitations/implications – No formal measure of staff and patient satisfaction with the new protocol was performed. Practical implications – The nursing team are now able to more effectively manage patient flow through the short stay surgical ward. Mismatch between demand for beds and capacity has reduced. Social implications – Patient experience has been improved by the release of time to care for our nurses and the elimination of unnecessary delay in discharge. Originality/value – Formal protocol driven NLD can be a safe way of improving efficiency in patient flow. This pattern of discharge could be applied in many hospital systems.
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Lee, M. S., D. A. Nunez, and H. J. Lamont. "Audit of a Change in Otolaryngology Discharge Letters Using the Scottish Intercollegiate Guidelines Network (Sign) Recommendations." Scottish Medical Journal 47, no. 5 (October 2002): 109–11. http://dx.doi.org/10.1177/003693300204700504.

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Hospital and general practitioners should establish good communications so that continuity of care can be maintained when patients are discharged from hospital. A discharge letter was routinely prepared utilizing the standardized morbidity registration forms by the house surgeon for delivery to the patient s general practitioner. The authors developed a new discharge letter, which was sent under separate cover to the general practitioner. The two discharge letters were assessed utilising data fields recommended by the Scottish Intercollegiate Guidelines Network (SIGN). A total of 162 consecutive paediatric patient discharges were identified. The mean number of items present in the existing and the new discharge letters were 13.7 + 1.8 and 12.2 + 3 respectively. The new discharge letter met the SIGN guidelines more closely than the existing discharge letter.
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Roberts, Debra E., Robert G. Holloway, and Benjamin P. George. "Post-acute care discharge delays for neurology inpatients." Neurology: Clinical Practice 8, no. 4 (July 16, 2018): 302–10. http://dx.doi.org/10.1212/cpj.0000000000000492.

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BackgroundHospital stays for patients discharged to post-acute care are longer and more costly than routine discharges. Issues disrupting patient flow from hospital to post-acute care facilities are an underrecognized strain on hospital resources. We sought to quantify the burden of medically unnecessary hospital days for inpatients with neurologic illness and planned discharge to post-acute care facilities.MethodsWe conducted a retrospective evaluation of hospital discharge delays for patients with neurologic disease and plans for discharge to post-acute care. We identified 100 sequential hospital admissions to an academic neurology inpatient service that were medically ready for discharge from December 4, 2017, to January 25, 2018. For each patient, we quantified the number of medically unnecessary hospital days, or all days in the hospital following the determination of medical discharge readiness.ResultsAmong 100 patients medically ready for discharge with plans for post-acute care disposition (47 female, mean age 72.5 years, mean length of stay 12.3 days), 50 patients were planned for discharge to skilled nursing, 37 to acute rehabilitation, 10 to hospice/palliative care, and 3 to other facilities. There was a total of 1,226 patient-days, and 480 patient-days (39%) occurred following medical readiness for discharge. Medically unnecessary days ranged from 0 to 80 days per patient (mean 4.8, median 2.5, interquartile range 1–5 days).ConclusionUnnecessary hospital days represent a large burden for patients with neurologic illness requiring post-acute care on discharge. These discharge delays present an opportunity to improve hospital-wide patient flow.
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Baker, Joni, and Cydreese Aebi. "Comparison of readmission data between different categories of antipsychotic drugs at a state psychiatric hospital in Oregon." Mental Health Clinician 7, no. 3 (May 1, 2017): 124–30. http://dx.doi.org/10.9740/mhc.2017.05.124.

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Abstract Introduction: This chart review utilizes readmission rates and mean time to readmission as markers of drug efficacy to compare different categories of long-acting injectable antipsychotics (LAIAs), antipsychotic polypharmacy, and clozapine to oral antipsychotic monotherapy (OM) at a state psychiatric hospital in Oregon (Oregon State Hospital). Methods: Charts were reviewed for patients discharged between October 20, 2011, and September 23, 2015, with a diagnosis of schizophrenia spectrum or mood disorder. Admission dates, discharge dates, and discharge antipsychotics were reviewed for each patient dating back to 1991. Discharge antipsychotics were categorized into groupings of LAIAs, antipsychotic polypharmacy, and clozapine and compared with OM to assess readmission data within 1, 3, and 5 years of discharge. The primary end point was readmission rate, measured as a percentage, and the secondary end point was mean time to readmission (MTR), measured in days. Results: Of 1088 patients reviewed, there were 2031 patient discharges associated with antipsychotic agents and 1258 readmissions. Patients discharged on LAIA monotherapy or clozapine generally had a lower readmission rate, and patients discharged on antipsychotic polypharmacy generally had a higher readmission rate. Statistical significance for these findings varied over time frames and subgroup analyses. The most notable finding for the secondary end point was a significantly shorter MTR for patients discharged on clozapine for all diagnoses and the subgroup analysis of schizoaffective disorder. Discussion: These results are only a reflection of the patient population at this hospital, and additional reviews at other facilities with different patient characteristics could clarify applicability to other patient populations.
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Pilcher, D. V., G. J. Duke, C. George, M. J. Bailey, and G. Hart. "After-Hours Discharge from Intensive Care Increases the Risk of Readmission and Death." Anaesthesia and Intensive Care 35, no. 4 (August 2007): 477–85. http://dx.doi.org/10.1177/0310057x0703500403.

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Despite reports showing night discharge from an intensive care unit (ICU) is associated with increased mortality, it is unknown if this has resulted in changes in practice in recent years. Our aim was to determine prevalence, trends and effect on patient outcome of discharge timing from ICU throughout Australia and New Zealand. Two datasets from the Australian and New Zealand Intensive Care Society Adult Patient Database (ANZICS APD) were examined: 1. All submissions to the APD from 1.1.2003 to 31.12.2004 to determine contemporary practices. 2. Forty hospitals which had submitted continuous data between 1.1.2000 and 31.12.2004 to determine trends in practice over time. Outcomes investigated were hospital mortality and ICU readmission rate. Between 1.1.2003 and 31.12.2004, the ANZICS APD reported 76,690 patients discharged alive from ICU; 13,968 (18.2%) were discharged after-hours (between 1800 and 0559 hours). After-hours discharges had a higher readmission rate (6.3% vs. 5.1%; P= <0.0001) and higher mortality (8.0% vs. 5.3%; P= <0.0001). Peak readmission (8.6%) and mortality rates (9.7%) were seen in patients discharged between 0300 and 0400 hours. After-hours discharge was a predictor of mortality (odds ratio 1.42, 95% confidence interval 1.32-1.52; P= <0.0001) in multivariate analysis. Between 2000 and 2004, after-hours discharges increased (P=0.0015) with seasonal peaks during winter. The risk of death increased as the proportion of patients discharged after-hours rose. After-hours discharge from ICU is associated with increased risk of death and readmission to ICU. It has become more frequent. The risk of death increases as more after-hours discharges occur.
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Ochuko-Emore, M. "Discharge destination of patients from a psychogeriatric unit." European Psychiatry 26, S2 (March 2011): 845. http://dx.doi.org/10.1016/s0924-9338(11)72550-0.

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ObjectivesTo determine the discharge destination of patients admitted to a psychogeriatric unit.MethodsRecords of all patients discharged from an in-patient psychogeriatric unit between 1st July 2009 and 30th June 2010 were examined. The diagnosis, residence at admission, length of stay and discharge destination were recorded.ResultsThere were ninety-four discharges over the study period. Four of the patients were admitted and discharged twice. The mean age was 76.7 years (range 65–95 years). 52.1% (n = 49) were diagnosed with dementia and 47.9% (n = 45) with functional mental illness. The average length of stay was 67.4 days for dementia compare to 74.2 days for functional mental illness. 17.1% (n = 6/32) of patients with dementia and 84.2% (n = 32/38) of patients with functional mental illness resident at home at the time of admission were discharged home.ConclusionThis finding suggests that patients with functional mental illness are more likely to be discharge back to their homes compared with patients with dementia.
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Ghosh, Arnab Kumar, and Said Ibrahim. "4301 Racial/Ethnic variations in discharge destination after inpatient care: A risk-adjusted analysis of a large regional dataset." Journal of Clinical and Translational Science 4, s1 (June 2020): 88–89. http://dx.doi.org/10.1017/cts.2020.278.

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OBJECTIVES/GOALS: While there are many well-documented factors for racial/ethnic variation in discharge destination, less is known about the role hospital processes play. We hypothesize that variation in hospital processes -defined as the patient length of stay (LOS) adjusted for known confounders - explains racial/ethnic variation in discharge destination. METHODS/STUDY POPULATION: Our sample was 176,686 discharges from 165 hospitals in 2014 using the New York State Inpatient Dataset from the Healthcare Cost and Utilization Project, merged with the 2014 American Hospital Association Annual Survey to build a file of inpatient discharges with patient, disease and socio-economic characteristics. We excluded patients under 18 years, those with LOS of zero, those who died, those admitted to critical access hospitals, and patients from hospitals that lacked sufficient number of minority patients. We used a generalized linear mixed effects model to create an in-hospital risk-adjusted LOS by modelling the relationship between the interaction of race and discharge destination and LOS, controlling for known confounders such as patient, disease and between-hospital characteristics. RESULTS/ANTICIPATED RESULTS: Mean age of sample was 56.5 years, 57.3 % female, 54.9% white, 18.9% black and 13.1% Hispanic; 64.3% were discharged home, 15.8% to a skilled nursing or other intermediate care facility, 15.5% to home with home care and 2.4% left against medical advice. The top 3 discharge diagnoses were vaginal delivery (6.3% of discharges), psychosis (4.7%), and major joint replacement (2.9%). In adjusted analysis compared to white patients, black and Hispanic patients did not have an risk of increased LOS after being discharged to non-home destinations vs. discharged home, (black patients, adjusted OR [AOR], 0.97; 95% CI: 0.94-1.00, p = 0.08; Hispanic patients, AOR, 1.01; 95% CI: 0.98 – 1.05, p = 0.5). However, being black compared to white and discharge to non-home destinations significantly increased LOS. DISCUSSION/SIGNIFICANCE OF IMPACT: In this large sample of patients admitted for inpatient care in 2014 in New York, we found no independent effect between race and discharge destination on a patient’s LOS after controlling for patient, disease and between-hospital characteristics. However race/ethnicity increased LOS, suggesting its effect may play a role on in-hospital processes CONFLICT OF INTEREST DESCRIPTION: Dr. Ghosh has no relevant relationships with commercial interests to disclose Dr. Ibrahim has no relevant relationships with commercial interests to disclose
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Dissertations / Theses on the topic "Discharge of the patient"

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Jensen, Gwenneth Anne. "Outcomes of heart failure discharge instructions." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/3318.

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Acute decompensation of chronic heart failure is common and results in many patients being re-hospitalized every year (Jancin 2008). One of four voluntary core measures deployed by the Joint Commission for evaluation of quality of heart failure care in hospitals is heart failure discharge instructions, also called core measure HF1. Although the core measure is a widely disseminated standardized measure related to discharge education, there is little evidence about its impact on patient or readmission outcomes. The purpose of this study was to determine the relationship between the completion of heart failure discharge instructions as defined by the Joint Commission core measure HF1 in a single site, 500 bed tertiary hospital population in the Upper Midwest and the primary endpoint of subsequent readmission to the hospital 30, 90, 180 and 365 days following an index discharge for primary diagnosis of heart failure. Secondary endpoints included hospital readmission charges and total hospital readmission days per year. Patient characteristics, clinical characteristics, unit factors and index visit utilization variables were controlled. This study also described the relationship between nursing unit factors and completion of HF1. A retrospective, descriptive design, and analyses using primarily generalized linear models, were used to study the relationship of HF1 to utilization outcomes (readmission, hospital days and cost) and unit context (discharge unit and number of inter-unit transfers). Individual level retrospective demographic, clinical, administrative and performance improvement data were used (n = 1034). Results suggested a weak and non-significant association of completion of the core measure HF1 bundle and readmission within 30 days for all cause readmissions (p = .22; OR 1.32), and no association with HF to HF readmissions at 30 days. There was an inverse association 2 after 6 months for all cause readmission, and after 90 days for HF to HF readmission. There was a non-significant trend toward a relationship to total hospital days, but no relationship of HF1 to total annual charges. The study did find a significant relationship between type of discharge nursing unit and HF1 completion, and type of discharge unit and readmission. The discharge nursing unit was quite consistently and strongly related to all cause readmissions in binary (p = .029: OR 1.58) and counts analyses (p = .001; OR 1.52), but was not related to the subset of HF to HF readmissions. The study concludes that there is limited relationship between HF1 and 30 day all cause hospital readmission and total readmission days, but a stronger relationship between HF1 and discharge from a cardiology specialty unit. There was also a relationship between cardiology discharge unit and reduction in all cause readmissions.
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First-Williams, Julie. "Educating Staff Nurses for Successful Patient Discharge." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7473.

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The definition of a successful discharge is a discharge that results in patients successfully managing a chronic disease for at least 30 days without requiring an acute inpatient hospitalization. Many chronic disease readmissions are preventable. Successful discharge planning takes a multidisciplinary team that includes nurses who assess the discharge plan and provide additional education where needed. The purpose of this project was to determine staff nurses' understanding of their role in discharge education. Dorothea Orem's self-care deficit theory guided the project and root cause analysis was used in the development of the problem statements. Staff nurses (n=12) from evening and day shift of a rural hospital were interviewed using questions developed from the content from the literature review. Individual interviews were conducted with the volunteer participants and data from the interviews were examined using content analysis. Results included barriers to discharge education were related to inadequate nursing education, poor patient compliance, and inadequate discharge planning. Recommendations from the nurses' interviewed included the need for staff nurse education regarding their role in the educational needs of the patient and their family prior to discharge. The findings from this project may benefit nurses' practice by providing them with an understanding of the need for effective discharge education for patients. When patients are appropriately educated prior to discharge, their ability to self-manage their disease may improve, which can result in a decrease in health care costs and preventable readmissions. Educating nurses about their role in discharge planning promotes positive social change by improving the quality of the discharge education and patient outcomes.
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Walters, Veronica Jeanne. "Geriatric Patient Satisfaction with Discharge Medication Information." University of Toledo Health Science Campus / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=mco1149002272.

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Knott, T. Christine. "Patient admission characteristics influencing discharge destinations from a Geriatric Medicine In-Patient Unit." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20658.pdf.

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Smith, Cheryl. "Patients’ Perceptions of Patient-Centered Care and the Hospital Experience Pre- and Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3388.

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Florence Nightingale used the principles of patient-centered care as the foundation for nursing practice. Today, patient-centered care delivery is part of the healthcare reform process that extends interprofessionally throughout all settings of healthcare in the United States (U.S.). Patient satisfaction measurement is one primary determinant of effective patient-centered care. The standardized Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and methods is a nation-wide tool used to measure patient satisfaction. However, this method of patient satisfaction assessment relies on recollections of patients’ hospital experiences and requires accurate memory and recall. This study sought to examine the effect of the memory-experience gap on patients’ perceptions of their hospital experiences and address this research question: Are there any statistical differences between in-hospital and two-week post-discharge perceptions of patient-centered care as measured with HCAHPS patient satisfaction ratings on (a) the composite scores for communication with nurses, communication with physicians, communication about medicines, pain management, staff responsiveness, (b) the individual scores for the hospital environment’s cleanliness and quietness, and the inclusion of patient and family preferences in the plan of care, and (c) the overall global rating score? The design was a non-experimental, prospective, descriptive correlational study. The setting was a 255-bed regional hospital that serves individuals from eight surrounding rural counties in southern middle Tennessee. The case-mix contained diverse individuals with multiple economic, environmental, physical, social and spiritual dynamics. A convenience sample of 82 adult patients ages 26 - 93 represented mainly Caucasian females with mostly cardiovascular and respiratory illnesses who had a minimum one-day stay.
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Jeter, Shelia Celeste. "Destination Arrival and Discharge Unit to Improve Patient Flow." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7933.

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The increase in patients presenting to the emergency department (ED) for primary care poses a serious safety issue in the care that can be provided. In a care area that is overcrowded, physicians, nurses, ancillary department staff, and other care team members may have a difficult time delivering care. Poorly managed flow in the ED leads to overcrowding, and patients with life-threatening illnesses are less likely to be transitioned to designated specialized areas in a safe and efficient manner. The practice-focused question was whether processes to improve the flow of patients entering the ED decreased the number of patients leaving without being seen, decreased time from the time entering the ED to hospital admission, improved the average length of stay, and increased patient satisfaction. The plan-do-check-act methodology was used to address this quality improvement project. Results of the project demonstrated a decrease in the number of patients leaving without being seen, a decrease in the time entering the ED to hospital admission, a decrease in average length of stay, and an increase in patient satisfaction. This project provided positive social change to the patients, families, organization, and community by improving the ED processes to ensure patient needs were addressed as rapidly as possible.
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Ballester, Nicholas A. "Engineering Inpatient Discharges: Disposition Prediction and Day-of-Discharge Planning." Wright State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=wright1509728298874385.

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Adnan, Mehnaz. "A semantic annotation framework for patient-friendly electronic discharge summaries." Thesis, University of Auckland, 2011. http://hdl.handle.net/2292/10272.

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Discharge summaries are intended to include information necessary to communicate the post-discharge framework of care to care providers as well as patients and their families. An important aspect is the availability of easily understandable discharge information to empower patients as partners in their post-discharge care. However, these summaries are found to impose comprehension barriers for consumers. We explore semantic annotation as an approach to improve discharge summaries by assigning links of various semantic types to entities in the text. Our approach is grounded in automated text analysis and panel assessment of a corpus of 200 Electronic Discharge Summaries (EDSs) to identify the barriers to patient use of these summaries. These analyses identified the presence of advanced clinical vocabulary, abbreviations and inadequate patient advice as major obstacles. In response to the findings from corpus analyses, we implemented two components, SemLink and SemAssist. Both of these components use the Unified Medical Language System (UMLS) and the Open Access Collaboratives' Consumer Health Vocabulary (CHV) as biomedical vocabularies and the General Architecture for Text Engineering (GATE) as a natural language processing framework. SemLink is designed to provide readability support for EDS text by adding hyperlinks to the most appropriate and readable consumer-based web resource for difficult terms and phrases. SemLink was developed iteratively and can embed its results in portable document format (PDF). In a preliminary automated evaluation, SemLink achieved 95% precision in hyperlinking topically relevant Web resources in which 83% of hyperlinks could be restricted to resources of reading grade-level 8 or less. In the final evaluation by expert feedback, SemLink generated 65% topically relevant hyperlinks as agreed by the majority of the experts. SemAssist is designed as an interactive ontology-based Clinical Decision Support System to assist EDS authors in providing optimal medication advice for patients. The system offers a pre-formulated auto text and an alert critique about the inclusion of advice on side effects, required patient actions and follow-up related to postdischarge care for a set of high risk medications. Together, SemLink and SemAssist illustrate the application of a semantic annotation framework to support consumers in getting the most from their EDSs by exploiting both dynamic hyperlinking and authoring support. Our approach may have a wider range of applications to support other health-related document types and clinical users.
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Hayes, Karen S. "Geragogy-based medication instruction for the rural elderly patient discharged from the emergency department." free to MU campus, to others for purchase, 1996. http://wwwlib.umi.com/cr/mo/fullcit?p9812954.

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Griffiths, Pauline. "Nursing patients in transition : an ethnography of the role of the nurse on an Acute Medical Admissions Unit." Thesis, Swansea University, 2007. https://cronfa.swan.ac.uk/Record/cronfa42820.

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This thesis explores the role of the nurse on an Acute Medical Admissions Unit (AMAU). AMAUs provide a dedicated area for the assessment, treatment, and subsequent transfer or discharge of patients who are medical emergencies. Despite increasing numbers of AMAUs across the UK they are an under researched area and, in particular, there is limited research that has explored the role of the nurse in the AMAU setting. Data were generated through the use of ethnography that entailed participant observation over an eighteen-month period, semi-structured interviews with a purposive sample of doctors, nurses, paramedics, and patients (n= 19), and examination of documentary evidence. Drawing on the concept of communities of practice (Wenger 1998) and the demand-control-social support model of occupational stress (Baker et al., 1996) the key themes of the study were identified as: The AMAU nurse's role in co-ordinating patients ' transition; Professional skills and attributes o f the AMAU nurse; 7 love the buzz': the AMAU nurses' work place stresses and balances; and Organisational constraints and practice boundaries for AMA U nursing The findings from the study indicate that a key aspect of the AMAU nurse's role was the facilitation of rapid patient transition. In addition the study has identified the distinctive and locally negotiated working practices developed by the nurses to coordinate this transition. Another important claim arising from this study was the identification of this nursing role as an evolved construction within a community of practice. This study makes a significant contribution to the limited body of knowledge regarding AMAU nursing practice by aiding understanding of the complexity of this nursing role. Additionally, the application of the concept of community of practice provides a unique perspective and insight into this under explored role. Recommendations are offered for practice, education, management and future research.
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Books on the topic "Discharge of the patient"

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Elizabeth, Taft, ed. Discharge planning guide for nurses. Philadelphia, PA: W.B. Saunders, 1990.

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Tryner, Alison. Effective patient discharge of elderly patients: The development of audit in Derbyshire. Derby: University of Derby, School of Health & Community Studies, 1995.

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Andrews, Ivy. Patient's charter standard: Discharge of patients from hospital. Harrow: A & M Enterprises for Mount Vernon Hospital NHS Trust and the National Hospital for Neurology and Neurosurgery, 1993.

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Dalley, Gillian. Patient satisfaction: The discharge of older people from hospital : a survey. London: Centre for Policy on Ageing, 1997.

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Guhleman, Patricia A. Wisconsin hospital discharge report: Morbidity, patient characteristics, and utilization, 1982-83. [Madison, WI] (P.O. Box 309, Madison 53701): Dept. of Health and Social Services, Division of Health, Center for Health Statistics, 1985.

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Proehl, Jean A. Mosby's emergency department: Patient teaching guides. St. Louis: Mosby, 1997.

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Massachusetts. Health Resources Statistics Unit. Hospital bed & discharge data book. Boston, Mass: Massachusetts Dept. of Public Health, 1987.

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Continuing care: The process and practice of discharge planning. Rockville, Md: Aspen Publishers, 1987.

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Sekscenski, E. Discharges from nursing homes: 1985 National Nursing Home Survey. Hyattsville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Health Statistics, 1990.

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Dudley, A. M. Making the discharge process work for patients: Named nurses experiences in discharge. Oxford: Oxford Brookes University, 1996.

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Book chapters on the topic "Discharge of the patient"

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Küfner, Heinrich, and Wilhelm Feuerlein. "Discharge Data." In In-Patient Treatment for Alcoholism, 49–57. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-74388-7_5.

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Calviño-Günther, Silvia, and Yann Vallod. "Patient Care: From Body to Mind." In Passport to Successful ICU Discharge, 29–42. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38916-1_3.

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Rabin, Ira Y., and Kathleen B. Savoy. "Hospital Discharge Challenges of the Homeless Patient." In Clinical Management of the Homeless Patient, 139–48. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-70135-2_9.

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Howroyd, Fiona, and Andrew Lockwood. "The Person Before the Patient: The Importance of a Good History." In Passport to Successful ICU Discharge, 1–13. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38916-1_1.

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Brandstetter, Robert D., and Andrew Pugliese. "Discharge Strategies for the Patient with Pneumonia." In The Pneumonias, 313–19. New York, NY: Springer New York, 1993. http://dx.doi.org/10.1007/978-1-4613-9766-3_12.

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Annas, George J. "Admission and Discharge." In The Rights of Patients, 67–82. Totowa, NJ: Humana Press, 1992. http://dx.doi.org/10.1007/978-1-4612-0397-1_5.

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Regina, Micaela La, Alessandra Vecchié, Aldo Bonaventura, and Domenico Prisco. "Patient Safety in Internal Medicine." In Textbook of Patient Safety and Clinical Risk Management, 213–52. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_17.

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AbstractHospital Internal Medicine (IM) is the branch of medicine that deals with the diagnosis and non-surgical treatment of diseases, providing the comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. IM is a key ward for Health National Services. In Italy, for example, about 17.3% of acute patients are discharged from the IM departments. After the epidemiological transition to chronic/degenerative diseases, patients admitted to hospital are often poly-pathological and so requiring a global approach as in IM. As such transition was not associated—with rare exceptions—to hospital re-organization of beds and workforce, IM wards are often overcrowded, burdened by off-wards patients and subjected to high turnover and discharge pressure. All these factors contribute to amplify some traditional clinical risks for patients and health operators. The aim of our review is to describe several potential errors and their prevention strategies, which should be implemented by physicians, nurses, and other healthcare professionals working in IM wards.
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Kevers, Laurent, and Julia Medori. "Symbolic Classification Methods for Patient Discharge Summaries Encoding into ICD." In Advances in Natural Language Processing, 197–208. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-14770-8_23.

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Nedreskår, Heidi Helen, and Marianne Storm. "Coordination of Discharge Practices for Elderly Patients in Light of a Norwegian Healthcare Reform." In Researching Patient Safety and Quality in Healthcare, 145–60. Taylor & Francis Group, 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742: CRC Press, 2016. http://dx.doi.org/10.1201/9781315605609-11.

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Bissoyi, Swarupananda, and Manas Ranjan Patra. "Mapping Clinical Narrative Texts of Patient Discharge Summaries to UMLS Concepts." In Advances in Intelligent Systems and Computing, 605–16. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-1081-6_51.

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Conference papers on the topic "Discharge of the patient"

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Ciliberti, Rosella, Alessandro Bonsignore, Liliana Lorettu, Maurizio Secchi, Michele Minuto, Pierluigi Santi, and Ilaria Baldelli. "Physician/patient relationship following hospital discharge – new methods of therapeutic and care continuity." In the 8th International Workshop on Innovative Simulation for Healthcare. CAL-TEK srl, 2019. http://dx.doi.org/10.46354/i3m.2019.iwish.013.

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"Healthcare organization aims to shorten hospitalization times, both to facilitate patient turnover and to avoid the risks of the nosocomial environment. Between March and September 2018, patients that were discharged after hospitalization for scheduled reconstructive breast surgery were given a portable device with the Dr. Link app installed, created to allow real-time communication with physicians. Patients and physicians completed a satisfaction survey on their experience with the use of the device. Analysis shows overall patient satisfaction in terms of improvement in relationships and quality of life. Physicians reported more responsible patient behaviour, better compliance, and earlier treatment of complications. Continuous interactive assistance can improve the discharged patient’s quality of life and therapeutic path. However, the device risks becoming a negative tool if the health care professional has not made the proper initial emotional investment in the relationship, delegating the totality of the therapeutic relationship to the tablet."
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Khurma, Nancy, Farzaneh Salamati, and Zbigniew J. Pasek. "Simulation of patient discharge process and its improvement." In 2013 Winter Simulation Conference - (WSC 2013). IEEE, 2013. http://dx.doi.org/10.1109/wsc.2013.6721619.

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Pakbin, Arash, Parvez Rafi, Nate Hurley, Wade Schulz, M. Harlan Krumholz, and J. Bobak Mortazavi. "Prediction of ICU Readmissions Using Data at Patient Discharge." In 2018 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2018. http://dx.doi.org/10.1109/embc.2018.8513181.

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Rose, Stephen, and Sarah Mollart. "87 Discharge discussions in hospice: patient and families’ experiences." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.114.

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Eigner, Isabella, Andreas Hamper, Nilmini Wickramasinghe, and Freimut Bodendorf. "Decision Makers and Criteria for Patient Discharge - A Qualitative Study." In 30TH Bled eConference: Digital Transformation – From Connecting Things to Transforming Our Lives, June 18 – 21, 2017, Bled, Slovenia. University of Maribor Press, 2017. http://dx.doi.org/10.18690/978-961-286-043-1.10.

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Salimi, Mohamad, and Alla Rozovskaya. "Predicting Discharge Disposition Using Patient Complaint Notes in Electronic Medical Records." In Proceedings of the BioNLP 2018 workshop. Stroudsburg, PA, USA: Association for Computational Linguistics, 2018. http://dx.doi.org/10.18653/v1/w18-2316.

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Bihari, S., G. Forster, R. Tiruvoipati, and D. Pilcher. "The Association Between Discharge Delay from Intensive Care and Patient Outcomes." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a6215.

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Pearmain, L., C. Avram, V. Yioe, P. Webb, GA Margaritopoulos, P. Rivera-Ortega, N. Chaudhuri, and JF Blaikley. "P168 Patient symptoms following discharge from hospital after COVID-19 Pneumonia." In British Thoracic Society Winter Meeting, Wednesday 17 to Friday 19 February 2021, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2021. http://dx.doi.org/10.1136/thorax-2020-btsabstracts.313.

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Copeland, D., E. Eisenberg, C. Edwards, N. A. Shah, and C. A. Powell. "Post COVID-19 Remote Patient Monitoring Following Discharge from NYC Hospital." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1727.

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Jiao, Y. Y., K. Li, and R. J. Jiao. "A case study of hospital patient discharge process re-engineering using RFID." In Technology (ICMIT 2008). IEEE, 2008. http://dx.doi.org/10.1109/icmit.2008.4654566.

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Reports on the topic "Discharge of the patient"

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Eliason, Paul, Paul L. Grieco, Ryan McDevitt, and James Roberts. Strategic Patient Discharge: The Case of Long-Term Care Hospitals. Cambridge, MA: National Bureau of Economic Research, September 2016. http://dx.doi.org/10.3386/w22598.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Krishnan, Jerry, Sanjib Basu, Elizabeth Calhoun, Robert DiDomenico, Min Joo, Simon Pickard, Barry Pittendrigh, and Mark Williams. Evaluating a Program to Improve Patient Experiences After Discharge From the Hospital—The PArTNER Study. Patient-Centered Outcomes Research Institute® (PCORI), May 2020. http://dx.doi.org/10.25302/04.2020.ih.12114365.

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Evenson, Kelly R., Ty A. Ridenour, Jacqueline Bagwell, and Robert D. Furberg. Sustaining Physical Activity Following Cardiac Rehabilitation Discharge. RTI Press, February 2021. http://dx.doi.org/10.3768/rtipress.2021.rr.0043.2102.

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Because many patients reduce exercise following outpatient cardiac rehabilitation (CR), we developed an intervention to assist with the transition and evaluated its feasibility and preliminary efficacy using a one-group pretest–posttest design. Five CR patients were enrolled ~1 month prior to CR discharge and provided an activity tracker. Each week during CR they received a summary of their physical activity and steps. Following CR discharge, participants received an individualized report that included their physical activity and step history, information on specific features of the activity tracker, and encouraging messages from former CR patients for each of the next 6 weeks. Mixed model trajectory analyses were used to test the intervention effect separately for active minutes and steps modeling three study phases: pre-intervention (day activity tracking began to CR discharge), intervention (day following CR discharge to day when final report sent), and maintenance (day following the final report to ~1 month later). Activity tracking was successfully deployed and, with weekly reports following CR, may offset the usual decline in physical activity. When weekly reports ceased, a decline in steps/day occurred. A scaled-up intervention with a more rigorous study design with sufficient sample size can evaluate this approach further.
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Miller, Kaleigh. US Guided Management of Undifferentiated Dyspneic Patient in the ED. University of Tennessee Health Science Center, March 2020. http://dx.doi.org/10.21007/com.lsp.2020.0001.

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Intro: Undifferentiated dyspnea can be a complicated presentation muddled by patient comorbidities and similar symptomology shared among etiologies. Some studies have shown increased mortality and length of stay in the hospital when incorrectly initially diagnosed in the ED. US has been shown more effective at differentiating these causes and improves diagnostic accuracy. This study will implement US exam upon initial exam of patient and chart time to diagnosis/treatment, length of stay in ED, length of stay in hospital admissions versus discharge rates, and 30 day mortality. ADHF and COPD/asthma patient differentiation will be the focus. Methods: Prospective cohort study of more than 18 years that present with the primary complaint of dyspnea with more than one complicating comorbid condition. Initial exam by physician will be accompanied by cardiothoracic US previously verified. Results: Study powered by previous year average of time to diagnosis of institution. Patient characteristics, distribution by diagnostic category, and characteristics found on US in correlation with diagnosis will be included for multivariate analysis. Conclusions: We expect to see a singificant difference in our time to diagnosis/treatment and mortality rate.
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Bartel, Ann, Carri Chan, and Song-Hee (Hailey) Kim. Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality. Cambridge, MA: National Bureau of Economic Research, September 2014. http://dx.doi.org/10.3386/w20499.

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Guo, Qinyu, Xiubin Zhang, and Runping Zuo. Effect of transitional care on rheumatoid arthritis patients after discharge: A protocol for systematic review and meta-analysis of randomized controlled trial. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2021. http://dx.doi.org/10.37766/inplasy2021.6.0020.

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Johnstone, Nena. An Attempt to Find Predictor Variables Which Will Discriminate Between Those Patients Who Seek Aftercare Treatment and Those Who Do Not Seek Aftercare Treatment Upon Discharge From a Psychiatric Ward. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1555.

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Dolfini-Reed, Michelle, and Derek Shia. Patient Access Study. Fort Belvoir, VA: Defense Technical Information Center, March 1998. http://dx.doi.org/10.21236/ada346941.

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Oi, Katsuya. Understanding the Role of Patient Activation in the Association between Patient Socio-Economic Demographics and Patient Experience. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.467.

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