Discharge Planning- December 2012

 

 

Discharge Planning – Evidence Update  

December -2012

 

 

 


Welcome to the December bulletin on Discharge Planning being produced by the HEFT Library Services. This bulletin is produced to support VITAL for Nurses core skills programme developed in the Trust. This issue will highlight evidence published in the previous 6 months. Full text articles can be accessed via your HEFT Athens ID.

Admission prevention

 

Title: How CCGs can work with pharma to reduce emergency admissions
Citation: GP Online, May 2012 Author(s): Neil Durham A

Full text: Available in full text here.


 

Citation: BMJ. 2012 Sep 18;345 : e6017. doi: 10.1136/bmj.e6017.

Title: Reducing emergency admissions: are we on the right track?

Author(s): Roland M, Abel G.

Abstract: Evaluates the problems with the current policy of focusing on those most at risk or 'frequent fliers' in order to reduce emergency admissions and considers a different approach.

Full text: Available in full text here.


 

Title: Avoidable acute hospital admissions in older people.

Citation: British Journal of Healthcare Management, 2012, vol./is. 18/11(597-603), 1358-0574 Author(s): Mytton, Oliver T., Oliver, David, Mirza, Nabil

Abstract: Understanding avoidable admissions in older people is a pressing issue, with budget restraint, an ageing population and demand for care close to home. To inform local efforts to reduce avoidable admissions in older people, the study audited a series of acutely ill older people admitted under the local elderly care team.

Full Text: Available from EBSCOhost in British Journal of Healthcare Management

 

Bed management

 

Title: A re-assessment: forecasting unplanned care activity.

Citation: British Journal of Healthcare Management, 01 September 2012, vol./is. 18/9(497-501), 13580574 Author(s): Rowe, Simon

Full Text: Available from EBSCOhost in British Journal of Healthcare Management


 

Title: Solutions To Emergency Department 'Boarding' And Crowding Are Underused And May Need To Be Legislated.

Citation: Health Affairs, 01 August 2012, vol./is. 31/8(1757-1766), 02782715 Author(s): Rabin, Elaine, Kocher, Keith, McClelland, Mark, Pines, Jesse, Hwang, Ula, Rathlev, Niels, Asplin, Brent, Trueger, N. Seth, Weber, Ellen

Abstract: The practice of keeping admitted patients on stretchers in hospital emergency department hallways for hours or days, called "boarding," causes emergency department crowding and can be harmful to patients. Boarding increases patients' morbidity, lengths of hospital stay, and mortality. Strategies that optimize bed management reduce boarding by improving the efficiency of hospital patient flow, but these strategies are grossly underused. Convincing hospital leaders of the value of such solutions, and educating patients to advocate for such changes, may promote improvements. If these strategies do not work, legislation may be required to effect meaningful change.


 

Capacity planning

Nothing to report

 

Discharge coordination

Title: Improving hospital admission and discharge for homeless people
Citation: Homeless Link May 2012

Full text: Available in full text here.


 

Discharge process

Title: The SIGN discharge document. Edinburgh: SIGN; 2012.

Author(s): Scottish Intercollegiate Guidelines Network (SIGN). (SIGN publication no. 128). [June 2012].

Abstract: This replaces SIGN 65. The aim is to present a template for a single discharge document that can be used as both the IDD (in its core format) for every patient on the day of discharge, and as the final discharge summary/ letter (in its extended format) for more complex cases. This update reflects the fact that the production and communication of documents by electronic means within both primary and secondary care is becoming more common.

Full text: Available in full text from here.


 

Title: Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers.

Citation: BMJ Qual Saf. 2012 Nov 1. [Epub ahead of print] Author(s): Hesselink G, Flink M, Olsson M, Barach P, Dudzik-Urbaniak E, Orrego C, Toccafondi G, Kalkman C, Johnson JK, Schoonhoven L, Vernooij-Dassen M, Wollersheim H; on behalf of the European HANDOVER Research Collaborative.

Abstract: The aim of the paper is to explore the barriers and facilitators to patient-centred care in the hospital discharge process.

Full text: Available in full text here.


 

Title: A qualitative study to identify reasons for discharges against medical advice in the cardiovascular setting.

Citation: BMJ Open, 2012, vol./is. 2/4, 2044-6055 (2012) Author(s): Onukwugha E, Saunders E, Mullins CD, Pradel FG, Zuckerman M, Loh FE, Weir MR

Abstract: To identify reasons for discharges against medical advice (AMA) among patients with CVD.DESIGN: Qualitative study using focus group interviews (FGIs).

Full Text: Available from National Library of Medicine in BMJ Open


 

Title: Improving discharges starts within the hospital

Citation: Hospital case management : the monthly update on hospital-based care planning and critical paths, September 2012, vol./is. 20/9(131-132), 1087-0652 (Sep 2012)

Full Text: Available from ProQuest in Hospital Case Management


Title: Routine same-day discharge after acute or interval appendectomy in children: A prospective study

Citation: Archives of Surgery, May 2012, vol./is. 147/5(443-446), 0004-0010;1538-3644 (May2012) Author(s): Alkhoury F.; Malvezzi L.; Knight C.G.; Diana J.; Pasaron R.; Mora J.; Aserlind A.;Stylianos S.; Burnweit C.

Full Text: Available in fulltext at Highwire Press


 

Title: Standardized discharge planning assessments: Impact on patient outcomes

Citation: Journal of Nursing Care Quality, July 2012, vol./is. 27/3(200-208), 1057-3631

(July-September 2012)

Author(s): Holland D.E.; Bowles K.H.


 

Title: Evaluation of an admission and discharge programme at a UK specialist palliative day hospice

Citation: International Journal of Palliative Nursing, June 2012, vol./is. 18/6(275-281), 1357-6321 (June 2012) Author(s): De Vries K.; Wells J.; Plaskota M.

Full Text: Available in fulltext at EBSCOhost


 

Title: The effects of a 'discharge time-out' on the quality of hospital discharge summaries

Citation: BMJ Quality and Safety, October 2012, vol./is. 21/10(885-890), 2044-5415 (October 2012) Author(s): Mohta N.; Vaishnava P.; Liang C.; Ye K.; Vitale M.; Dalal A.; Schnipper J.

Full Text: Available from Highwire Press in BMJ Quality and Safety

 


 

Title: Effects of an Enhanced Discharge Planning Intervention for Hospitalized Older

Adults: A Randomized Trial.

Citation: Gerontologist. 2012 Sep 7. [Epub ahead of print]  Author(s): Altfeld SJ, Shier GE, Rooney M, Johnson TJ, Golden RL, Karavolos K, Avery E,

Nandi V, Perry AJ.

Abstract: Purpose of the study is to identify needs encountered by older adult patients after

hospital discharge and assess the impact of a telephone transitional care intervention on stress, health care utilization, readmissions, and mortality.


 

Title: Six steps lead to better transitions.

Citation: Case Management Advisor, Oct 2012, (October 2012), 1053-5500 (October 2012)

Author(s): Anon., Anon.

Abstract: After interviewing hundreds of patients and family members, a multi-disciplinary team at Kaiser Permanente redesigned the process for transitioning patients from the hospital to home and developed a list of six processes that should happen during every discharge for every patient.

Full Text: Available from EBSCOhost in Case Management Advisor


 

Title: An integrative review of the literature about the transition of pediatric patients with intestinal failure from hospital to home.

Citation: Journal for Specialists in Pediatric Nursing, 01 October 2012, vol./is. 17/4(264-274), 15390136 Author(s): Murray, John S., Mahoney, Judith M.

Abstract: The purpose of this review was to identify factors associated with the complexity of transitional care in this population of children, as well as to explore frameworks for providing care for transition to home.


 

 

Title: Effective discharge communication in the emergency department.

Citation: Annals of Emergency Medicine, August 2012, vol./is. 60/2(152-9), 0196-0644;1097-6760 (2012 Aug) Author(s): Samuels-Kalow ME, Stack AM, Porter SC

AbstractThis review describes the existing literature on patient understanding and implementation of discharge instructions, discusses previous interventions aimed at improving the discharge process, and recommends best practices and future research.

Full Text: Available from MD Consult in Annals of Emergency Medicine; Note: ; Notes: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: Look beyond the illness to create discharge plan.

Citation: Hospital Case Management, 01 July 2012, vol./is. 20/7(101-102), 10870652

Full Text: Available from ProQuest in Hospital Case Management


 

Title: Ensuring good transitions is just the right thing to do.

Citation: Case Management Advisor, 01 October 2012, vol./is. 23/10(109-111), 10535500

Full Text: Available from EBSCOhost in Case Management Advisor


 

Education and Practice

 

Title: Inter-professional working: the only way forward.

Citation: British Journal of Nursing, May 2012, vol. 21, no. 9, p. 549., 0966-0461 (May 10, 2012) Author(s): Botten, Emma Louise

Abstract: Discussion on interprofessional working and its benefits for nursing care, including holistic care, professional skill mix and the protection of patients through information sharing. Strategies for student nurses to develop their interprofessional skill are also outlined.

Full Text: Available from EBSCOhost in British Journal of Nursing


 

Title: Patient and family education in the emergency department: how nurses can help.

Citation: Journal of Emergency Nursing, May 2012, vol. 38, no. 3, p. 293., 0099-1767 (May 2012) Author(s): Gozdzialski, Alisha, Schlutow, Melanie, Pittiglio, Laura

Abstract: The purpose of this article is to discuss the importance of discharge teaching for the patient and family in the ED setting.

Full Text: Available from ProQuest in Journal of Emergency Nursing


Estimating dates for discharge

 

Title: The Nottingham Hip Fracture Score as a predictor of early discharge following fractured neck of femur.

Citation: Age & Ageing, 01 May 2012, vol./is. 41/3(322-326), 00020729 Author(s): Moppett, Iain Keith, Wiles, Matthew Dominic, Moran, Chris G., Sahota, Opinder

Abstract: Objective of the study was to assess the utility of the NHFS as a predictor of return-to-home in patients following hip fracture.

Full Text: Available from ProQuest in Age and Ageing


 

 

 

Multidisciplinary team discharges

Title: Input of nurses into A&E admission and discharge decisions explored

Citation: Nursing standard (Royal College of Nursing (Great Britain) : 1987), August 2012, vol./is. 26/48(11), 0029-6570 (2012 Aug 1-7) Author(s): Snow T.

Full Text: Available from ProQuest in Nursing Standard


 

Nurse-led discharge

Title: Development of guidelines for nurse-led discharge of children presenting with toxic ingestion.

Citation: Nursing Children & Young People, Nov 2012, vol. 24, no. 9, p. 21-23, 2046-2336 (November 2012) Author(s): Lawton, Lorraine

Abstract: Guidelines developed at the Whittington Hospital paediatric emergency department in London concerning management of a child who has swallowed a toxic substance. Development of a nurse-led discharge pathway, triage, a flow chart listing steps to follow and the advantages and disadvantages of nurse input are described. [

Full Text: Available from ProQuest in Nursing Children and Young People


 

Title: Stoma care and enhanced recovery.

Citation: Gastrointestinal Nursing, Sep 2012, vol. 10, no. 7, p. 26-32, 1479-5248 (September 2012) Author(s): Burch, Jennie

Abstract: Enhanced recovery, or fast track, programmes for stoma care patients, enabling earlier discharge from hospital. The elements of enhanced recovery and the patient pathway are described, including preoperative and postoperative care. The role of specialist stoma care nurses is described.

Full Text: Available from EBSCOhost EJS in Gastrointestinal Nursing; Note: ; Notes: Click on link "Available on Publisher's Site:


 

Title: Development of guidelines for nurse-led discharge of children presenting with toxic ingestion.

Citation: Nursing Children & Young People, Nov 2012, vol. 24, no. 9, p. 21-23, 2046-2336 (November 2012) Author(s): Lawton, Lorraine

Abstract: Guidelines developed at the Whittington Hospital paediatric emergency department in London concerning management of a child who has swallowed a toxic substance. Development of a nurse-led discharge pathway, triage, a flow chart listing steps to follow and the advantages and disadvantages of nurse input are described. references

Full Text: Available from EBSCOhost in Nursing Children and Young People


 

Title: The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study.

Citation: International Journal of Nursing Studies, Oct 2012, vol. 49, no. 10, p. 1230-1242, 0020-7489 (October 2012) Author(s): Chiang, Li-Chi, Chen, Wan-Chou, Dai, Yu-Tzu, Ho, Yi-Lwun

Abstract: The study highlights the research in Taiwan evaluating the effectiveness of nurse-led transitional care combining discharge plans and telehealth care for reducing carers' burden and improving stress mastery and family function in family carers of heart failure patients in the 1st month after discharge.

Full Text:

Available from ProQuest in International Journal of Nursing Studies


 

Title: A qualitative study exploring the nurse telephone follow-up of patients returning home with a colostomy.

Citation: Journal of Clinical Nursing, May 2012, vol. 21, no. 9-10, p. 1407-1415, 0962-1067 (May 2012) Author(s): Zhang, Jun-E, Wong, Frances KY, You, Li M, Zheng, Mei C

Abstract: Qualitative research in China examining the nature of telephone support provided by stoma care nurses to patients discharged to home with a colonostomy.

Full Text: Available from ProQuest in Journal of Clinical Nursing


 

Title: Stroke rehabilitation and discharge planning.

Citation: Nursing Standard, 05 September 2012, vol./is. 27/1(35-39), 00296570

Author(s): Kerr, Peter

Abstract: This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland.

Full Text: Available from ProQuest in Nursing Standard


 

Patient centred discharges

Title: Adverse drug reaction-related admissions in paediatrics, a prospective single-centre study.

Citation: BMJ Open, 2012, vol./is. 2/4, 2044-6055 (2012) Author(s): Posthumus AA, Alingh CC, Zwaan CC, van Grootheest KK, Hanff LL, Witjes BB, 't Jong GW, de Hoog M

Abstract: To investigate the incidence and characteristics of hospital admissions related to adverse drug events in the paediatric setting.

Full Text: Available from National Library of Medicine in BMJ Open


 

Title: Pediatrician's perspectives on discharge against medical advice (DAMA) among pediatric patients: a qualitative study

Citation: BMC pediatrics, 2012, vol./is. 12/(75), 1471-2431 (2012)

Author(s): Macrohon B.C.

Full Text: Available from National Library of Medicine in BMC Pediatrics


Title: Enhanced recovery after laparoscopic colorectal resection with primary anastomosis: Accelerated discharge is safe and does not give rise to increased readmission rates

Citation: Colorectal Disease, October 2012, vol./is. 14/10(1287-1290), 1462-8910;1463-1318 (October 2012) Author(s): Gash K.J.; Greenslade G.L.; Dixon A.R.


 

Title: Transitional care: focusing on patient-centered outcomes and simplicity.

Citation: Annals of Internal Medicine, September 2012, vol./is. 157/6(448-9), 0003-4819;1539-3704 (2012 Sep 18) Author(s): Bray-Hall ST

Full Text: Available from EBSCOhost in Annals of Internal Medicine


 

Title: Family-centered rounds and communication about discharge between families and inpatient medical teams.

Citation: Clinical Pediatrics, August 2012, vol./is. 51/8(730-8), 0009-9228;1938-2707 (2012 Aug) Author(s): Subramony A, Schwartz T, Hametz P

Abstract: Objective was to assess family knowledge of discharge plans on teams conducting FCRs.

Full Text: Available from EBSCOhost in Clinical Pediatrics

Title: Involve caregivers in discharge planning.

Citation: Hospital Case Management, 01 July 2012, vol./is. 20/7(101-101), 10870652

Full Text: Available from ProQuest in Hospital Case Management


 

Title: Standardized discharge planning assessments: impact on patient outcomes.

Citation: Journal of Nursing Care Quality, 01 July 2012, vol./is. 27/3(200-208), 10573631

Author(s): Holland, Diane E, Bowles, Kathryn H

Abstract: The purpose of the study was to determine whether a difference exists in patient-reported problems and unmet needs after discharge when a standardized discharge planning assessment is added to usual care by staff nurses.

Full Text: Available from ProQuest in Journal of Nursing Care Quality


 

Readmissions

Title: Redesigning the transition process cuts readmissions.

Citation: Case Management Advisor, Oct 2012, (October 2012), 1053-5500 (October 2012)

Author(s): Anon., Anon.

Abstract: Kaiser Permanente's six-step process to improve transitions of care has resulted in reduced preventive hospital readmissions, an increase in the percentage of patients with physician appointments within five days of discharge, and raised patient satisfaction scores.

Full Text: Available from EBSCOhost in Case Management Advisor


 

Title: Hospital strategies to reduce heart failure readmissions: where is the evidence?.

Citation: Journal of the American College of Cardiology, August 2012, vol./is. 60/7(615-7), 0735-1097;1558-3597 (2012 Aug 14) Author(s): Butler J, Kalogeropoulos A

Full Text: Available from Free Access Content in Journal of the American College of Cardiology


 

Title: Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Citation: Journal of the American College of Cardiology, August 2012, vol./is. 60/7(607-14), 0735-1097;1558-3597 (2012 Aug 14) Author(s): Bradley EH, Curry L, Horwitz LI, Sipsma H, Thompson JW, Elma M, Walsh MN, Krumholz HM

Abstract: This study sought to determine the range and prevalence of practices being implemented by hospitals to reduce 30-day readmissions of patients with heart failure or acute myocardial infarction (AMI).

Full Text: Available from Free Access Content in Journal of the American College of Cardiology


 

Title: Development of a predictive model to identify inpatients at risk of re-admission

within 30 days of discharge (PARR-30).

Citation: BMJ Open. 2012 Aug 10;2(4). pii: e001667. doi: 10.1136/bmjopen-2012-001667. Print 2012. Author(s): Billings J, Blunt I, Steventon A, Georghiou T, Lewis G, Bardsley M.

Abstract: Objective is to develop an algorithm for identifying inpatients at high risk of

re-admission to a National Health Service (NHS) hospital in England within 30 days of discharge using information that can either be obtained from hospital information systems or from the patient and their notes.

Full text: Available in full text here.


 

Title: Re-admission of patients within 30 days of discharge.

Citation: British Journal of Healthcare Management, 2012, vol./is. 18/10(516-521), 1358-0574 Author(s): Nurani, Raisha

Abstract: This article aims to explore the causes for hospital re-admission rates. All admissions on a single day were checked to see how many re-admissions existed and the reasons for admission.

Full Text: Available from EBSCOhost in British Journal of Healthcare Management


 

Title: Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
Citation: ISMP Medication Safety Alert! Acute Care Edition November 15, 2012;17:1-3.

Abstract: This article details how a community liaison pharmacist who works with clinicians in hospitals can help reduce readmissions.

Full text: Available in full text here.


 

Title: Post discharge interventions by pharmacists and impact on hospital readmission rates

Citation: Journal of the American Pharmacists Association : JAPhA, May 2012, vol./is.

52/3(358-362), 1544-3450 (2012 May-Jun) Author(s): Bellone J.M.; Barner J.C.; Lopez D.A.

Full Text: Available in fulltext at EBSCOhost


 

Title: Nurse visits result in fewer readmissions.

Citation: Case Management Advisor, Oct 2012, (October 2012), 1053-5500 (October 2012)

Author(s): Anon., Anon.

Abstract: Aetna's pilot program sending advanced practice nurses into the home of at-risk Medicare patients within seven days of hospital discharge resulted in a 20% decrease in hospital readmissions, over and above the 23% readmission reductions already achieved by the health plan's case management program for Medicare Advantage patients.

Full Text: Available from EBSCOhost in Case Management Advisor


 

Title: Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization.

Citation: American Heart Journal, September 2012, vol./is. 164/3(365-72), 0002-8703;1097-6744 (2012 Sep) Author(s): Au AG, McAlister FA, Bakal JA, Ezekowitz J, Kaul P, van Walraven C

Abstract: The accuracy of current models to predict the risk of unplanned readmission or death after a heart failure (HF) hospitalization is uncertain.

Full Text: Available from MD Consult in American Heart Journal; Note: ; Notes: You will need to register (free of charge) with MD Consult the first time you use it.


 

Simple discharges and complex discharges

Title: Improving hospital admission and discharge for people who are homeless.

Author(s): Produced by Homeless Link and St Mungo’s

Abstract: This report, produced jointly with St Mungo’s, draws together the direct experiences of clients and staff to provide an updated national picture of hospital admission and discharge practice for people who are homeless.

Full text: Available in full text here


 

Title: From Hospital to Home: Steps for hospital staff –identify need and take action.

Citation: Produced by Homeless Link and St Mungo’s

Full text: Available in full text here.


 

Title: FEASIBILITY OF DISCHARGE PLANNING IN INTENSIVE CARE UNITS: A PILOT STUDY.

Citation: American Journal of Critical Care, 01 July 2012, vol./is. 21/4(0-7), 10623264

Author(s): Holland, Diane E., Rhudy, Lori M., Vanderboom, Catherine E., Bowles, Kathryn H.

Abstract: This pilot study explored the feasibility of beginning the hospital's discharge planning process within 24 hours of an admission to the intensive care unit.

Full Text: Available from EBSCOhost in American Journal of Critical Care


 

Title: Feasibility and economic impact of same-day discharge for women who undergo laparoscopic hysterectomy

Citation: American Journal of Obstetrics and Gynecology, November 2012, vol./is.

207/5(382.e1-382.e9), 0002-9378;1097-6868 (November 2012)

Author(s): Schiavone M.B.; Herzog T.J.; Ananth C.V.; Wilde E.T.; Lewin S.N.; Burke W.M.; Lu Y.-S.; Neugut A.I.; Hershman D.L.; Wright J.D.

Full Text: Available from MD Consult in American Journal of Obstetrics and Gynecology; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: Early post-natal discharge and time to pass meconium in the newborn

Citation: Irish Medical Journal, April 2012, vol./is. 105/4(15), 0332-3102 (April 2012)

Author(s): Tariq M.; Barron M.; Ryan C.A.

Abstract: Early discharge of mother and newborn is becoming more frequent in Irish maternity hospitals. This means that some babies may not have passed their first meconium prior to discharge from hospital, increasing the risk of delayed diagnosis of neonatal bowel

obstruction.


 

Title: Hospital discharge on the first compared with the second day after a planned cesarean delivery: A randomized controlled trial

Citation: Obstetrics and Gynecology, December 2012, vol./is. 120/6(1273-1282), 0029-7844 (December 2012) Author(s): Chiong Tan P., Jin Norazilah M., Zawiah Omar S.

Abstract: OBJECTIVES: To compare patient satisfaction and exclusive breastfeeding rates for patients discharged from the hospital on postcesarean day 1 (next day) or day 2.

Full Text: Available from Ovid in Obstetrics and Gynecology


 

Title: Early intervention and management of adrenal insufficiency in children.

Citation: Nursing Children & Young People, Sep 2012, vol. 24, no. 7, p. 25-28, 2046-2336 (September 2012) Author(s): Moloney, Sinéad, Dowling, Maura

Abstract: The management of children with adrenal insufficiency. A literature review of causes, treatment and information provision for parents is presented. Discharge planning and use of a steroid therapy card by nurses at specialist endocrine centres in Dublin children's hospitals and in Cork University Hospital are described.

Full Text: Available from EBSCOhost in Nursing Children and Young People


 

 

 

Title: Outpatient vaginal hysterectomy: Optimizing perioperative management for same-day discharge

Citation: Obstetrics and Gynecology, December 2012, vol./is. 120/6(1355-1361), 0029-7844 (December 2012) Author(s): Zakaria M.A., Levy B.S.

Abstract: OBJECTIVE: To present tactics for optimizing outpatient vaginal hysterectomy and describe perioperative outcomes in a large consecutive case series.

Full Text: Available from Ovid in Obstetrics and Gynecology


 

Title: From hospital to home: journey of a child with special care needs.

Citation: Nursing Children & Young People, Nov 2012, vol. 24, no. 9, p. 14-18, 2046-2336 (November 2012) Author(s): Samwell, Brian

Abstract: Case study, based on a mother's account and including reflection by health professionals, concerning management of discharge into care in the community in Scotland, for a child with complex care needs. The value of discharge planning meetings with the key worker and other staff, the need to have realistic expectations, building relationships with home care workers and the importance of good communication are discussed.

Full Text: Available from EBSCOhost in Nursing Children and Young People


 

Title: Challenges to hospital discharge planning for older adults.

Citation: Clinical Nursing Research, Nov 2012, vol. 21, no. 4, p. 431-449, 1054-7738 (November 2012) Author(s): Popejoy, Lori L., Galambos, Colleen, Moylan, Kyle, Madsen, Richard

Abstract: Hospital discharge planning for older adults is an essential component to successful transitional care and will become increasingly important as hospitals face financial penalties for avoidable readmissions. This study reports a cross-sectional descriptive web-based survey study about challenges to discharge planning experienced by hospitals in the Midwestern state of Missouri.

Full Text: Available from ProQuest in Clinical Nursing Research


 

Title: Early pediatric emergency department return visits: a prospective patient-centric assessment.

Citation: Clinical Pediatrics, July 2012, vol./is. 51/7(651-8), 0009-9228;1938-2707 (2012 Jul)

Author(s): Ali AB, Place R, Howell J, Malubay SM

Abstract: BACKGROUND: A substantial percentage of emergency department (ED) patients return within 72 hours of their initial evaluation. The authors examined the possibility that return visits are related to nonmedical issues on the first visit, most notably patient discharge education.

Full Text: Available from EBSCOhost in Clinical Pediatrics


 

Title: Discharge Planning in the Neonatal Intensive Care Unit.

Citation: JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 02 June 2012, vol./is. 41/(0-0), 08842175 Author(s): Loughren, Kathy J.

Full Text: Available from ProQuest in Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN


 

Title: Neonatal management and safe discharge of late and moderate preterm infants.

Citation: Seminars In Fetal & Neonatal Medicine, June 2012, vol./is. 17/3(153-8), 1744-165X;1878-0946 (2012 Jun) Author(s): Whyte RK

Abstract: The special challenges addressed here are of transition and of thermal adaptation, nutritional compensation for postnatal growth restriction, the establishment of early feeding, and the avoidance of post-discharge jaundice or apnea.

Full Text: Available from Elsevier in Seminars in Fetal and Neonatal Medicine; Note: ; Notes: You will need to register (free of charge) with Science Direct the first time you use it.


Title: Safety and feasibility of hospital discharge 2 days following primary percutaneous intervention for ST-segment elevation myocardial infarction

Citation: Heart, December 2012, vol./is. 98/23(1722-1727), 1355-6037;1468-201X (December 2012) Author(s): Jones D.A., Rathod K.S., Howard J.P., Gallagher S., Antoniou S., De Palma R., Guttmann O., Cliffe S., Colley J., Butler J., Ferguson E., Mohiddin S., Kapur A., Knight C.J., Jain A.K., Rothman M.T., Mathur A., Timmis A.D., Smith E.J., Wragg A.

Abstract: The study investigated the safety and feasibility of very early discharge at 2 days following PPCI in selected low-risk cases.

Full Text: Available from Highwire Press in Heart


New Books Added to the HEFT Libraries

 

 Timely discharge from hospital
Author: Lees, L ed.

Publisher: Keswick: M&K Publishing,
Pub Year: 2012
ISBN: 9781905539550

[1 copy available on all the 3 sites to borrow]

To reserve the above book(s), please go to www.base-library.nhs.uk and reserve them using your library ID and PIN number.

 

Wishing you all a Merry Christmas and a very Happy New Year 2013

                                       

 

 

Further information

Multiple sources – websites, journals and healthcare databases – have been searched for evidence published in the last four weeks are identified and highlighted here. For a detailed list of sources that have been scanned, please contact [email protected] or ext 47836 (Good Hope Hospital)

Please login with your Athens ID on www.evidence.nhs.uk ‘before’ clicking on any of the journal full text links in this bulletin for seamless access.

NEW WEB BASED ARTICLE REQUEST SYSTEM-  From 1st November 2012, the HEFT Library services introduced a new system for requesting journal articles, leading to a faster and more efficient service.  Register now at http://www.basedoc.co.uk/ using your Library ID no.

For more information on how to register for Athens, access the Athens Registration leaflet via HEFT Library website www.heftlibrary.nhs.uk

Visit NHS Evidence portal www.evidence.nhs.uk  to access your journals and healthcare databases.