Background: This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.
Purpose: Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection.
Methods: A systematic review was conducted to identify literature on criteria-led discharge from 2007 to 2017. The quality of articles was appraised using a tool for disparate studies. Two reviewers extracted relevant data independently.
Results: Fifteen studies were identified that showed no increase in patient readmission or complication rates with criteria-led discharge, demonstrating patient safety. The quality of the patient discharge was unremarkable. None of the studies showed an increase in length of stay.
Conclusions: The safety, quality, and length of stay for patients discharged through criteria-led discharge are inextricably linked to the process adopted for its implementation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/NCQ.0000000000000356 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The safety of same-day discharge following percutaneous coronary intervention in regional Australia.
Intern Med J
November 2024
Department of Cardiology, Coffs Harbour Health Campus, Coffs Harbour, New South Wales, Australia.
Background: Same-day discharge (SDD) following percutaneous coronary intervention (PCI) has proven safe, and global adoption of this strategy has been increasing rapidly. These data are predominantly derived from high-volume, metropolitan centres with a relative paucity of data from regional and remote settings.
Aims: The primary objective of this study was to evaluate the outcomes of a same-day, criteria-led discharge strategy following elective transradial PCI in a regional setting.
Rethinking infection (CDI) surveillance definitions based on changing healthcare utilisation and a more realistic incubation period: reviewing data from a tertiary-referral hospital, Ireland, 2012 to 2021.
Euro Surveill
February 2024
Department of Microbiology, Beaumont Hospital, Dublin, Ireland.
Article Synopsis
- Community-associated infections (CA-CDI) have been rising globally, with definitions based on symptom onset timing and prior hospital stays affecting classification.
- A study of new CDI cases from 2012-2021 aimed to evaluate different methods of categorizing patients to better understand their CDI origin and improve surveillance.
- Results showed that changing the criteria for defining types of CDI led to significant shifts in patient classification, emphasizing the need for updated guidelines to enhance prevention strategies.
Discharge criteria for inpatient paediatric asthma: a narrative systematic review.
Arch Dis Child
October 2023
General Medicine, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Introduction: Criteria-led discharges (CLDs) and inpatient care pathways (ICPs) aim to standardise care and improve efficiency by allowing patients to be discharged on fulfilment of discharge criteria. This narrative systematic review aims to summarise the evidence for use of CLDs and discharge criteria in ICPs for paediatric inpatients with asthma, and summarise the evidence for each discharge criterion used.
Methods: Database search using keywords was performed using Medline, Embase and PubMed for studies published until 9 June 2022.
Should we be chasing the elusive morning discharge?
J R Coll Physicians Edinb
June 2023
NHS Grampian, Aberdeen, UK.
Implementing criteria-led discharge for acute admissions to facilitate the elective recovery from COVID-19: an example in acute tonsillitis.
BMJ Open Qual
March 2023
Department of Otolaryngology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Background: Healthcare systems face unprecedented numbers of patients waiting for elective treatments in the wake of the COVID-19 pandemic. Hospitals must urgently optimise patient pathways and build capacity to meet the populations health needs. Criteria-led discharge (CLD) is frequently used to optimise elective care pathways but may hold potential in discharging patients at the end of an acute hospital admission.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!