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Nursing Times
Topics: Health Policy; Humans; Mental Disorders; Patient Care Planning; Patient Discharge; United Kingdom
PubMed: 2359710
DOI: No ID Found -
Hospital Case Management : the Monthly... Jun 2014The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if...
The Centers for Medicare & Medicaid Services is increasing its emphasis on discharge planning and has developed a worksheet for surveyors to use to determine if hospitals are in compliance with the Conditions of Participation. Hospitals must have discharge policies and procedures in writing and must be able to show that they are following them. Discharge planning assessments should be comprehensive and include the patient's psychosocial needs as well as medical needs and should take into consideration whether patients can safely go back to their previous setting. Communication with post-acute providers is essential to create smooth transitions and identify any gaps in information.
Topics: Centers for Medicare and Medicaid Services, U.S.; Guideline Adherence; Patient Discharge; United States
PubMed: 24923069
DOI: No ID Found -
Factors Associated With Delayed Discharge on General Medicine Service at an Academic Medical Center.Journal For Healthcare Quality :... 2018Lack of collaboration between care teams and patients/families has been associated with delayed discharge from the hospital. In this study, we determine whether... (Observational Study)
Observational Study
Lack of collaboration between care teams and patients/families has been associated with delayed discharge from the hospital. In this study, we determine whether patients' awareness of the estimated date of discharge (EDD) was associated with a decrease in delayed discharge, and determine the factors associated with a delayed discharge. A total of 221 patients admitted to the General Medicine service between July and September 2014 were included in the study. Estimated date of discharge was identified within 36 hours of admission. The bedside nurse communicated this EDD to the patient/family. Patients were interviewed to identify whether they were aware of their EDD. Bedside nurses were interviewed to identify barriers to discharge. In our study, 49.8% of the patients had a delayed discharge. Patients who were aware of their EDD were less likely to have a delayed discharge (odds ratio [OR], 0.3 [95% confidence interval (CI), 0.1-0.6], p < .001). Patients who were discharged on Saturday or Sunday (OR, 4.8 [95% CI, 1.7-14.6], p < .001) and patients who were waiting for physicians' consult (OR, 4.5 [95% CI, 1.6-14.4], p = .007) were more likely to have a delayed discharge. Early identification of the EDD and communicating it with the care team and the patient/family, mobilizing resources for safe weekend discharges, and creating efficient process for consultations might decrease delayed discharges.
Topics: Academic Medical Centers; Adult; Aged; Aged, 80 and over; Female; Guidelines as Topic; Humans; Male; Middle Aged; Patient Discharge; Primary Health Care
PubMed: 29315151
DOI: 10.1097/JHQ.0000000000000126 -
BMJ (Clinical Research Ed.) Jul 1989
Topics: England; Humans; Nursing Homes; Patient Discharge; Privatization
PubMed: 2504400
DOI: 10.1136/bmj.299.6693.262 -
The New England Journal of Medicine Apr 1979
Topics: Hospitals; Humans; Patient Discharge
PubMed: 431580
DOI: 10.1056/NEJM197904263001719 -
Journal of Vascular Nursing : Official... Sep 2014Peripheral vascular disease affects 20% of the population >55 years of age. Patients who become symptomatic are managed by a number of technique's including medical...
Peripheral vascular disease affects 20% of the population >55 years of age. Patients who become symptomatic are managed by a number of technique's including medical management, percutaneous angioplasty, bypass surgery, and in nonreconstructable situations, limb amputation. Clinicians treating patients by means of angioplasty have traditionally carried out these procedures on an inpatient basis. Limited resources and pressure on the availability of inpatient beds has necessitated clinicians to reevaluate how many of these patients are managed. Treating suitable patients as day cases is an attractive option that frees up resources and is financially advantageous. This paper examines the feasibility of same-day discharge after angioplasty, with a particular emphasis on achieving safe patient outcomes. It explores how advances in endovascular technologies and techniques have contributed to making same-day discharge an ever more feasible option. Nurse led pre-admission clinics run by specialist nurses facilitate safe and appropriate patient selection, where patients at risk for postprocedural problems can be identified effectively based on predefined clinical criteria.
Topics: Aged; Aged, 80 and over; Ambulatory Surgical Procedures; Angioplasty; Female; Humans; Male; Middle Aged; Patient Discharge; Patient Safety; Peripheral Vascular Diseases; Practice Guidelines as Topic; Time Factors; Treatment Outcome
PubMed: 25131758
DOI: 10.1016/j.jvn.2014.01.001 -
Rehabilitation Nursing : the Official... Dec 2020Postdischarge adverse drug events are a national issue, and effective inpatient instruction may help. Therefore, this intervention study examined whether using errorless...
PURPOSE AND DESIGN
Postdischarge adverse drug events are a national issue, and effective inpatient instruction may help. Therefore, this intervention study examined whether using errorless teaching/learning methods including pictorial medication cards (ETL + card) improved RN teaching and patient medication adherence among persons with cognitive challenges (PWCCs).
METHODS
Convenience samples of RNs and PWCCs from a 24-bed rehabilitation unit provided baseline data. RNs implemented ETL + card, and postintervention data were collected. Adapted and investigator-designed instruments had preliminary reliability/validity.
FINDINGS
Postintervention RNs demonstrated more teaching strategies (p = .003), and teaching satisfaction rose from 0% to 50%. Minutes per teaching interaction were unchanged (p > .05). Baseline patients filled a higher number (p = .02) but a lower percentage (67%) of their prescriptions than did postintervention patients (85%). Medication dose adherence scores were unchanged (p > .05).
CONCLUSIONS
ETL + card improved RN teaching and possibly patient adherence. Further study is warranted.
CLINICAL RELEVANCE
ETL + card may help PWCCs achieve safe medication self-management.
Topics: Aged; Aged, 80 and over; Female; Humans; Male; Medication Adherence; Medication Systems; Middle Aged; Patient Discharge; Patient Education as Topic; Reproducibility of Results
PubMed: 33332797
DOI: 10.1097/rnj.0000000000000237 -
Revista Brasileira de Enfermagem 2020to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and...
OBJECTIVE
to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and nursing outcomes classification (NOC) for patients with heart failure (HF) or diabetes mellitus (DM).
METHODS
quasi-experimental quantitative study conducted in a public university hospital located in the state of Rio Grande do Sul, Brazil. Convenience sampling included 28 adult patients hospitalized for HF or DM with the nursing diagnosis Ineffective Health Management (00078), who received the following nursing interventions: Teaching: Disease Process, Teaching: Prescribed Medication and Teaching: Prescribed Diet. Before and after the intervention, the following nursing outcomes were evaluated : Knowledge: Diabetes Management and Knowledge: Heart Failure Management.
RESULTS
the score of the nursing outcome Knowledge: Heart Failure Management went from 2.05±0.28 to 2.54±0.30 (P=0.002), and of the nursing outcome Knowledge: Diabetes Management went from 2.61±0.55 to 3.21±0.57 (P=0.000).
CONCLUSION
discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes.
Topics: Aged; Brazil; Classification; Diabetes Mellitus; Female; Heart Failure; Humans; Male; Middle Aged; Patient Discharge; Standardized Nursing Terminology
PubMed: 32609201
DOI: 10.1590/0034-7167-2018-0896 -
OH. Osteopathic Hospitals Apr 1978
Topics: Comprehensive Health Care; Continuity of Patient Care; Humans; Patient Care Team; Patient Discharge
PubMed: 10307060
DOI: No ID Found -
Lakartidningen Feb 2018
Topics: Aged; Humans; Multimorbidity; Patient Discharge; Primary Health Care
PubMed: 29437192
DOI: No ID Found