The Hospital Discharge: A Review of a High Risk Care Transition With Highlights of a Reengineered Discharge Process
نویسنده
چکیده
The hospital discharge is a handoff, ripe embedded structural risks and hazards that can result in passive or active failures among "sharp end" providers. These failures can result in medical errors and an array of postdischarge adverse events. There are now emerging data to suggest that postdischarge-related adverse events and rehospitalizations can be reduced through interventions at the time of hospital discharge. This article reviews the modifiable components of the hospital discharge process related to adverse events and rehospitalizations, including those relating to the characteristics of the hospital, patient, and clinician. Using multimethod analysis, our group described the principles thought to be important to the discharge process and delineated what we now call the reengineered discharge, a set of 11 discrete and mutually reinforcing components that we believe should be consistently part of every hospital discharge. Finally, we discuss the work or the National Quality Forum Consensus Standards Maintenance committee who, in 2006, added the hospital discharge as one of its "safe practices for better healthcare."
منابع مشابه
The effect of family-centered self-care program on the activity of people with cardiovascular disease after hospital discharge
Abstract Aim. The purpose of this study is to review studies that have investigated the effect of family-centered self-care program on the activity of people with cardiovascular disease after hospital discharge. Background. Adherence to medication, diet and physical activity in people with cardiovascular disease is very crucial to prevent readmission, independence in daily activities, and com...
متن کاملTransition of care for hospitalized elderly patients--development of a discharge checklist for hospitalists.
BACKGROUND Discharge from the hospital is a critical transition point in a patient's care. Incomplete handoffs at discharge can lead to adverse events for patients and result in avoidable rehospitalization. Care transitions are especially important for elderly patients and other high-risk patients who have multiple comorbidities. Standardizing the elements of the discharge process may help to a...
متن کاملInvestigation of Sediment Discharge Hydro-Induction for Preventing Sediment In Dams (a Review)
Hydro-induction sediment discharge technique (HSDT) aims to prevent reservoir sedimentation by withdrawing the discharge water from the reservoir bottom to suck up and discharge sediments, and by inducing vertical vortexes and undercurrents in the reservoir bay to keep sediments agitated and moving. The technique is facilitated with an innovative discharge conduit system having bottom intakes t...
متن کاملA systematic review on the effect of the organisation of hospital discharge on patient health outcomes
OBJECTIVE The transition from hospital to home represents a key step in the management of patients and several problems related to this transition may arise, with potential adverse effects on patient health after discharge. The purpose of our study was to explore the association between components of the hospital discharge process including subsequent continuity of care and patient outcomes in ...
متن کاملExtraction and Comparison of the Discharge Process in a Teaching Hospital
Background and Objectives: Patient discharge process starts from the point of the initial order of the physician order and continues to the discharge time of a patient and the release of the bed that was allocated to him/her. Lengthening the patient discharge process is regarded as a negative factor in the management of beds; this lengthy process leads to delay...
متن کامل