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Journal of Nuclear Medicine : Official... Dec 2010
Topics: Government Agencies; Humans; Iodine Radioisotopes; Patient Discharge; Radiation Injuries; Thyroid Neoplasms; United States
PubMed: 21098785
DOI: No ID Found -
Journal For Healthcare Quality :... 2018Discharging hospitalized children involves several different components, but their relative value is unknown. We assessed which discharge components are perceived as...
BACKGROUND
Discharging hospitalized children involves several different components, but their relative value is unknown. We assessed which discharge components are perceived as most and least important by clinicians.
METHODS
March and June of 2014, we conducted an online discrete choice experiment (DCE) among national societies representing 704 nursing, physician, case management, and social work professionals from 46 states. The DCE consisted of 14 discharge care components randomly presented two at a time for a total of 28 choice tasks. Best-worst scaling of participants' choices generated mean relative importance (RI) scores for each component, which allowed for ranking from least to most important.
RESULTS
Participants, regardless of field or practice setting, perceived "Discharge Education/Teach-Back" (RI 11.1 [95% confidence interval, CI: 11.0-11.3]) and "Involve the Child's Care Team" (RI 10.6 [95% CI: 10.4-10.8]) as the most important discharge components, and "Information Reconciliation" (RI 4.1 [95% CI: 3.9-4.4]) and "Assigning Roles/Responsibilities of Discharge Care" (RI 2.8 [95% CI: 2.6-3.0]) as least important.
CONCLUSIONS
A diverse group of pediatric clinicians value certain components of the pediatric discharge care process much more than others. Efforts to optimize the quality of hospital discharge for children should consider these findings.
Topics: Adolescent; Adult; Attitude of Health Personnel; Child; Child, Preschool; Female; Health Personnel; Hospitals, Pediatric; Humans; Infant; Infant, Newborn; Male; Middle Aged; Patient Discharge; Practice Guidelines as Topic; United States
PubMed: 29329135
DOI: 10.1097/JHQ.0000000000000084 -
Hospital Peer Review Feb 2016
Topics: Centers for Medicare and Medicaid Services, U.S.; Humans; Patient Discharge; Patient Preference; United States
PubMed: 26964411
DOI: No ID Found -
Anaesthesia and Intensive Care Aug 2007
Topics: After-Hours Care; Critical Care; Hospital Mortality; Humans; Patient Discharge; Patient Readmission; Risk Factors; Time Factors
PubMed: 18020062
DOI: 10.1177/0310057X0703500402 -
Journal For Specialists in Pediatric... Jan 2017The rehospitalization rate of preterm infants is between 22 and 52% within the first year after discharge. The purpose of this study was to investigate the...
PURPOSE
The rehospitalization rate of preterm infants is between 22 and 52% within the first year after discharge. The purpose of this study was to investigate the rehospitalization of preterm infants within 2 months following discharge, considering the level of risks originating from the infant, parents, and the social factors.
DESIGN AND METHODS
The sample was composed of 238 preterm infants and their parents. The data were collected with a Descriptive Information Form, the Post-Discharge Infant Follow-up Form, and the Neonatal Discharge Assessment Tool (N-DAT). Before discharge, the preterm infants were evaluated in terms of risky discharge via N-DAT consisting of the subscales Medical, Competencies, Risk factors, Resources, and Parenting. Discharge was determined as low, moderate, and high risk according to N-DAT total score. Two months after the discharge, rehospitalization of the infants was assessed. The data were evaluated via chi-square, Mann-Whitney U-test, and Fisher's exact test.
RESULTS
In the study, 39.9% of the preterm infants were rehospitalized within the 8 weeks following the discharge, with medical and/or surgical reasons. Medical problems such as pneumonia and acute bronchiolitis were ranked as the first cause for rehospitalization. As expected, according to the N-DAT scores, the rates of rehospitalization of infants who had been discharged with intermediate and high risk levels were found to be higher (p < .001) than the rates of those with low risk levels. Also, N-DAT Medical, Competencies, Risk factors, Resources, and Parenting subscale scores of the infants who were rehospitalized with medical problems were found to be higher at a statistically significant level than infants who were not rehospitalized (p < .001).
PRACTICE IMPLICATIONS
Nurses can help to minimize rehospitalization of infants by parental education, telephonic counseling, frequent observation, and home care support.
Topics: Female; Humans; Infant; Infant, Newborn; Infant, Premature; Male; Patient Discharge; Patient Readmission; Pediatric Nursing; Practice Guidelines as Topic; Risk Factors
PubMed: 27925447
DOI: 10.1111/jspn.12165 -
The Journal of Clinical Ethics 2016Patients' admission to modern substance use disorder treatment comes with the attendant risk of being discharged from treatment-a widespread practice. This article...
Patients' admission to modern substance use disorder treatment comes with the attendant risk of being discharged from treatment-a widespread practice. This article describes the three mainstream theories of addiction that operate as a reference point for clinicians in reasoning about a decision to discharge a patient from treatment. The extant literature is reviewed to highlight the pathways that patients follow after administrative discharge. Little scientific research has been done to investigate claims and hypotheses about the therapeutic function of AD, which points to the need for empirical ethics to inform clinical addictions practice.
Topics: Choice Behavior; Chronic Disease; Ethical Analysis; Humans; Morals; Patient Discharge; Substance-Related Disorders
PubMed: 27045311
DOI: No ID Found -
Pediatrics Sep 1994To provide the pediatric practitioner with a summary of available data regarding the appropriate time of hospital discharge of the term newborn. (Review)
Review
OBJECTIVE
To provide the pediatric practitioner with a summary of available data regarding the appropriate time of hospital discharge of the term newborn.
METHODOLOGY
Published series on early discharge were critically reviewed.
RESULTS
Heterogeneity and limitations of methodology and study design substantially limit conclusions that may be drawn from published studies.
CONCLUSION
Early discharge recommendations of the American Academy of Pediatrics remain appropriate, and decisions regarding the timing of discharge of the well term newborn should be individualized and made by the practitioner based upon the medical, social, and economic aspects of each case.
Topics: Humans; Infant Mortality; Infant, Newborn; Length of Stay; Morbidity; Patient Discharge; Socioeconomic Factors; United States
PubMed: 8065852
DOI: No ID Found -
Canadian Respiratory Journal 2015
Topics: Humans; Intensive Care Units; Patient Discharge
PubMed: 25848715
DOI: 10.1155/2015/526541 -
Critical Care Medicine May 2013
Topics: Cardiopulmonary Resuscitation; Female; Humans; Male; Nervous System Diseases; Out-of-Hospital Cardiac Arrest; Patient Discharge
PubMed: 23591219
DOI: 10.1097/CCM.0b013e3182804341 -
Clinical Medicine (London, England) Oct 2016
Review
Topics: Electronic Health Records; Hospital Mortality; Hospitalization; Hospitals, General; Humans; Morbidity; Patient Discharge
PubMed: 27697820
DOI: 10.7861/clinmedicine.16-5-495