2.50
Hdl Handle:
http://hdl.handle.net/10755/182437
Category:
Abstract
Type:
Presentation
Title:
Discharge by Appointment: A Throughput Project
Author(s):
Clements, Linda
Author Details:
Linda Clements, BSN, ONC, NE-BC, Sharp Grossmont Hospital, La Mesa, California, USA, email: Linda.Clements@sharp.com
Abstract:
In 1992 approximately 6000 USA hospital emergency departments (ED) closed. In 2008 less than 4000 hospitals EDs remain. As patient care transitioned to outpatient facilities, hospitals decreased inpatient beds, while the demand for ED services steadily rose from 89.8 million visits in 1992 to 108 million in 2000 (Schafermeyer, 2003). Overcrowding is a major hospital ED problem and sometimes critical patients do not receive timely care. At our institution, patients are diverted from the ED or have long wait times for admission when inpatient beds are unavailable. An analysis revealed that inpatient bed availability was affected by transfer delays, room turnaround time, and delays in patient discharges. The purpose of the Discharge by Appointment project was to assess and evaluate the discharge process, implement a model to evenly distribute discharge times throughout the day, evaluate the effect of these changes on patient satisfaction, and evaluate the effect of discharge times on ED diversion times and wait times. Data were collected before and three months after the project was implemented. Patient satisfaction for extent felt ready for discharge improved 3.3%. Although ED diversion time increased, it was not statistically significant. ED wait times for an inpatient bed decreased from 18 to 8 hours. Patient discharge times were more dispersed and the median discharge time moved from 1:00 PM to 2:00 PM. Healthcare organizations strive to keep patient flow constant and provide a favorable patient experience. Efficient patient flow, timely communication and expedient discharges play an important role in patient satisfaction. References: Institute of Medicine. (2006, June 14). Hospital-Based Emergency Care: At the Breaking : Remedies for poor patient ; Manning, D., & Tammel, K. e. (2007). In-Room display of day and time patients is ; Miro, O., Sanchez, M., & Espinoza, G. (2003). Analysis of patient flow in the emergency ; Ogbode, P. (2008, February 19). Patient flow and other efficiencies affecting patient satisfaction. ; Richards, J., Navarro, M., & Derlet, R. (2000). Survey of directors of emergency.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDischarge by Appointment: A Throughput Projecten_GB
dc.contributor.authorClements, Lindaen_US
dc.author.detailsLinda Clements, BSN, ONC, NE-BC, Sharp Grossmont Hospital, La Mesa, California, USA, email: Linda.Clements@sharp.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182437-
dc.description.abstractIn 1992 approximately 6000 USA hospital emergency departments (ED) closed. In 2008 less than 4000 hospitals EDs remain. As patient care transitioned to outpatient facilities, hospitals decreased inpatient beds, while the demand for ED services steadily rose from 89.8 million visits in 1992 to 108 million in 2000 (Schafermeyer, 2003). Overcrowding is a major hospital ED problem and sometimes critical patients do not receive timely care. At our institution, patients are diverted from the ED or have long wait times for admission when inpatient beds are unavailable. An analysis revealed that inpatient bed availability was affected by transfer delays, room turnaround time, and delays in patient discharges. The purpose of the Discharge by Appointment project was to assess and evaluate the discharge process, implement a model to evenly distribute discharge times throughout the day, evaluate the effect of these changes on patient satisfaction, and evaluate the effect of discharge times on ED diversion times and wait times. Data were collected before and three months after the project was implemented. Patient satisfaction for extent felt ready for discharge improved 3.3%. Although ED diversion time increased, it was not statistically significant. ED wait times for an inpatient bed decreased from 18 to 8 hours. Patient discharge times were more dispersed and the median discharge time moved from 1:00 PM to 2:00 PM. Healthcare organizations strive to keep patient flow constant and provide a favorable patient experience. Efficient patient flow, timely communication and expedient discharges play an important role in patient satisfaction. References: Institute of Medicine. (2006, June 14). Hospital-Based Emergency Care: At the Breaking : Remedies for poor patient ; Manning, D., & Tammel, K. e. (2007). In-Room display of day and time patients is ; Miro, O., Sanchez, M., & Espinoza, G. (2003). Analysis of patient flow in the emergency ; Ogbode, P. (2008, February 19). Patient flow and other efficiencies affecting patient satisfaction. ; Richards, J., Navarro, M., & Derlet, R. (2000). Survey of directors of emergency.en_GB
dc.date.available2011-10-28T15:24:11Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:24:11Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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