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Earlier hospital discharge with prospectively designated discharge time in the electronic health record

Pediatrics Nov 10, 2019

Sklansky DJ, Butteris S, Shadman KA, et al. - Given that multidisciplinary coordination is needed for hospital discharge and there exists an influence of insufficient coordination on patient flow, resource use, and postdischarge outcomes, therefore, researchers performed this quality-improvement study to implement a prospective, multidisciplinary discharge timing designation in the electronic health record (EHR) as well as to examine its link with discharge timing. The assessment of the implementation of confirmed discharge time (CDT), an EHR designation denoting specific discharge timing developed together by a patient’s family and the healthcare team, was done. An increase in the mean CDT use was noted from 0% to 62%, and following the provider education and EHR modification phases, special cause variations were identified. A rise by 6.2 percentage points was noted in the proportion of discharges before noon; from 19.9% to 26.1%, and a decrease was evident in the length of stay from 47 to 43 hours, during the study duration. More before-noon discharges occurred in relation to the implementation of a prospective, multidisciplinary EHR discharge time designation.
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