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Hospital-Wide Strategies for Reducing Inpatient Discharge Delays and Boarding

By Shari Welch, MD, FACEP | on July 27, 2021 | 0 Comment
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References

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  2. Derose SF, Gabayan GZ, Chiu VY, et al. Emergency department crowding predicts admission length-of-stay but not mortality in a large health system. Med Care. 2014;52(7):602-611.
  3. Sri-On J, Chang Y, Curley DP, et al. Boarding is associated with higher rates of medication delays and adverse events but fewer laboratory-related delays. Am J Emerg Med. 2014;32(9):1033-1036.
  4. Rojas-García A, Turner S, Pizzo E, et al. Impact and experiences of delayed discharge: a mixed-studies systematic review. Health Expect. 2018;21(1):41-56.
  5. Green MA, Dorfing D, Minton J, et al. Could the rise in mortality rates since 2015 be explained by changes in the number of delayed discharges of NHS patients? J Epidemiol Community Health. 2017;71(11):1068-1071.
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  13. Okoniewska B, Santana MJ, Groshaus H, et al. Barriers to discharge in an acute care medical teaching unit: a qualitative analysis of health providers perceptions. J Multidiscip Healthc. 2015;8:83-89.
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  15. Wertheimer B, Jacobs REA, Iturrate E, et al. Discharge before noon: effect on throughput and sustainability. J Hosp Med. 2015;10(10):664-669.
  16. Schedule the discharge to improve flow. Institute for Healthcare Improvement website. Accessed June 24, 2021.
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  18. Tan M, Hooper Evans K, Braddock 3rd CH, et al. Patient whiteboards to improve patient-centred care in the hospital. Postgrad Med J. 2013;89(1056):604-609.
  19. Wertheimer B, Jacobs REA, Bailey M, et al. Discharge before noon: an achievable hospital goal. J Hosp Med. 2014;9(4):210-214.
  20. Mehta RL, Baxendale B, Roth K, et al. Assessing the impact of the introduction of an electronic hospital discharge system on the completeness and timeliness of discharge communication: a before and after study. BMC Health Serv Res. 2017;17(1):624.
  21. Patient discharge lounge sparks connections, frees up beds. University of Rochester Medical Center website. Accessed June 24, 2021.
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  23. Franklin BJ, Vakili S, Huckman RS, et al. The inpatient discharge lounge as a potential mechanism to mitigate emergency department boarding and crowding. Ann Emerg Med. 2020;75(6):704-714.
  24. Donnelly L. Uber drivers to ferry elderly patients home from hospital in attempt to tackle record NHS bedblocking. The Telegraph website. Accessed June 24, 2021.
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  26. Bed leasing program helps hospitals discharge hard-to-place patients. Relias Media website. Accessed June 24, 2021.

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Explore This Issue
ACEP Now: Vol 40 – No 07 – July 2021

Pages: 1 2 3 4 5 | Single Page

Topics: BoardingOperations

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About the Author

Shari Welch, MD, FACEP

Shari Welch, MD, FACEP, is a practicing emergency physician with Utah Emergency Physicians and a research fellow at the Intermountain Institute for Health Care Delivery Research. She has written numerous articles and three books on ED quality, safety, and efficiency. She is a consultant with Quality Matters Consulting, and her expertise is in ED operations.

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