Discharge Planning- November 2011


Discharge Planning - Evidence Update

November 2011



Welcome to the November 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 eight weeks. Full text articles can be accessed with

your HEFT Athens ID.


Admission prevention

Nothing to report.


Bed management



Involuntary admissions on rise yet fewer beds are available

Holmstrom, R

Mental Health Practice. September; 15(1) p.6-7

This article reports on findings of research highlighting an increase in involuntary admissions to mental health

wards while the number of beds in England has declined. Possible reasons for the increase are discussed and

a service user's perspective is included.

Available in fulltext at EBSCO Host


Capacity planning

Nothing to report.


Discharge coordination

Nothing to report.


Discharge process



Barriers to effective discharge planning.

Eliza Wong, et al.

BMC Health Services Research. September; 11(242)

The aims of this present study were to explore the perceived quality of current hospital discharge from the

perspective of health service providers and to identify barriers to effective discharge planning in Hong Kong.

Available in fulltext at BioMed Central


Using mobile phone technology to reinforce discharge instructions.

Holt, J, Flint, E, Bowers, M

Am J Nursing. August; 111(8) p.47-51

Use of mobile phones with audio and image capacity to help patients adhere to self-care instructions following

discharge. A case report is presented of wound care and dressings change instructions given by photographs

and voice memo on a patient's phone before discharge. The benefits for patient compliance of taking preferred

learning styles into account are discussed.


Using pictographs in discharge instructions for older adults with low-literacy


Choi, Jeungok

Journal of Clinical Nursing. November; 20(21-22) p. 2984-2996

The aim of this study was to evaluate current visual aids used in health education; to explore evidence regarding

the use of pictographs (simple line drawings showing explicit health care actions); and to provide suggestions

for uses of pictographs in discharge instructions for older adults with low-literacy skills.


Methods of producing a discharge summary: Handwritten vs. electronic


Pocklington C, Al-Dhahir L.

British Journal of Medical Practitioners. September; 4(3) p. a432

It  is  a  compulsory  requirement   that  a  hospital  produces  a  discharge  summary.   This  is  often  the    only

documentation a GP receives in relation to a recent admission. Traditionally the discharge summary is hand-

written and commonly known as the TTA ('to take away'). Recently the EDS (electronic discharge summary) has

been introduced. This audit provides a comparison of the TTA and EDS.


Education and Practice

Nothing to report.


Estimating dates for discharge



Packed and ready to go.


Nursing Standard. Oct 12-Oct 18; 26(6) p. 18-19

In this article Nurse Liz Lees explains the fundamentals for discharging patients successfully at the right time.

Available in fulltext via Proquest (Legacy Platform)


Effective discharge planning -- timely assignment of an estimated date of


Lixin Ou, Chen et al

Australian Health Review. August; 35(3) p. 357-363

The objective of this study was to examine the implementation of estimated date of discharge (EDD) for planned

admissions and admissions via the emergency department, to assess the variance between EDD and the actual

date of discharge (ADD), and to explore the determinants of delayed discharge in a tertiary referral centre,

Sydney, Australia.

Available in fulltext at ProQuest (Legacy Platform)


Multidisciplinary team discharges



The Going Home Initiative: Getting Critical Care Patients Home With Hospice.

Lusardi, Paula et al

Critical Care Nurse. October; 31(5) p. 46-57

With little guidance from the literature, the palliative care committee of an intensive care unit developed guidelines