Improving Hospital Discharge Planning for Elderly Patients

نویسندگان

  • Sandra Potthoff
  • Robert L. Kane
  • Sheila J. Franco
چکیده

Hospital discharge planning has become increasingly important in an era of prospective payment and managed care. Given the changes in tasks, decisions, and environments involved, it is important to identify how to move such planning from an art to an empirically based decisionmaking process. The authors use a decision-sciences framework to review the state-of-the-art of hospital discharge planning and to suggest methods for improvement.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Timely discharge of older patients from hospital: improving the process.

Elderly patients represent a large number of admissions to hospital, accounting for a disproportionate number of hospital bed days. Discharge planning can improve the safety and appropriateness of discharge from hospital, and can have a positive impact on length of stay and efficiency. Despite this, discharge planning is often neglected. This review, both evidence and experience based, is provi...

متن کامل

Hospital discharge of the elderly-an observational case study of functions, variability and performance-shaping factors

BACKGROUND Understanding and improving hospital discharge has assumed major importance since it represents an error-prone transition in care. One barrier to improvement is the lack of detailed understanding of how hospital discharge is organized, including its interdependencies and influential performance-shaping factors (PSFs). This study examines the discharge of elderly patients using the Fu...

متن کامل

Comprehensive Discharge Planning for the Hospitalized Elderly

• Objective: To study the effects of a comprehensive discharge planning protocol, designed specifically for the elderly and implemented by nurse specialists, on patient and caregiver outcomes and cost of care. • Design: Randomized clinical trial. • Setting: Hospital of the University of Pennsylvania. • Patients: 276 patients and 125 caregivers. Patients were 70 years and older and were placed i...

متن کامل

Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial.

OBJECTIVE To study the effects of a comprehensive discharge planning protocol, designed specifically for the elderly and implemented by nurse specialists, on patient and caregiver outcomes and cost of care. DESIGN Randomized clinical trial. SETTING Hospital of the University of Pennsylvania. PATIENTS 276 patients and 125 caregivers. Patients were 70 years and older and were placed in sele...

متن کامل

The effects of a community-based discharge-planning model for continuing pressure ulcer care on wound healing rates, nutritional status, and infection rates of elderly patients in Thailand

This quasi-experimental research design study aimed to determine the effects of a community-based discharge-planning model for continuing pressure ulcer care on the nutritional status, wound-healing, and infection rates in one hundred elderly patients at a tertiary hospital in Thailand. The patients were simple randomized into two groups; namely, the control group receiving regular care and the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 19  شماره 

صفحات  -

تاریخ انتشار 1997