Operational Excellence
 

Document Type

Article

Publication Date

10-2018

Institution/Department

Operational Excellence

MeSH Headings

tertiary hospital, satisfaction, frustration, inpatient, root cause, goal, length of stay, surveys

Abstract

STRATEGIES TO INCREASE MORNING DISCHARGES IN AN ACADEMIC TERTIARY HOSPITAL

Delays in patient discharge result in numerous negative impacts on the health care system. Amongst those are a reduced patient flow and satisfaction, long wait times, and physician/ staff frustration.

An inpatient neurotrauma unit initiated a performance improvement project that utilized a multidisciplinary approach to identify barriers to discharge and coordinate a discharge plan focused on neurospine patients.

A root cause analysis was conducted to collect reasons that these patients were not discharged by 11:00am. As a result of the findings, 4 performance improvement plans were created. Subsequent data collection demonstrated that the discharge goal of 25% by 11:00 am was exceeded.

Next steps include ongoing surveys to measure early discharges and continue monthly meetings of the length of stay committee.

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