Developing a Process for Criteria-Led Discharge: Selection of Patients for Efficient and Effective Discharge (SPEED).

Lees-Deutsch, Liz, Jackson, Julia, Balaji, Dr Ariyur and Topping, Annie (2019) Developing a Process for Criteria-Led Discharge: Selection of Patients for Efficient and Effective Discharge (SPEED). Journal of nursing care quality. ISSN 1550-5065.

Full text not available from this repository.
Official URL: https://insights.ovid.com/crossref?an=00001786-900...

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.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin
Divisions: Emergency Services > Acute Medicine and AMU
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 19 Jul 2019 15:18
Last Modified: 19 Jul 2019 15:18
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2249

Actions (login required)

View Item View Item