Discharge Planning- January 2012


Discharge Planning - Evidence Update

January 2012


Wishing you all a very Happy New Year! Welcome to the first 2012 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 four weeks.

Full text articles can be accessed with your HEFT Athens ID.


Admission prevention

Nothing to report.


Bed management



Portion control opportunities: Real time gains for hospital patient throughput

Goldberg A.J., Robbins S.B.

Journal of Healthcare Management. September; 56(5) p. 293-297

Streamlining   the  discharge process to  increase bed  availability  is  an  outcome  measure  of multidisciplinary

efficiency and effectiveness; it signals that the hospital's systems, people, and processes are aligned to deliver

the best patient care possible.

Available in fulltext at EBSCOhost        Available in fulltext at ProQuest (Legacy Platform)


Capacity planning

Nothing to report.


Discharge coordination

Nothing to report.


Discharge process



Improving the discharge process by embedding a discharge facilitator in a

resident team.

Finn K.M et al

Journal of Hospital Medicine. November; 6(9) p. 494-500

The authors sought to assess whether embedding a nurse practitioner on a medical team to help physicians with

the discharge process would improve communication, patient follow-up, and hospital reutilization.


High-quality hospital discharge summaries-general practitioners expectations.

Bally K et al

Therapeutische Umschau. January; 69(1) -. 5-7

The article emphasises the importance of hospital discharge summaries that ensure treatment continuity after

hospital discharge.

Available in fulltext at EBSCOhost


Education and Practice

Nothing to report.


Estimating dates for discharge

Nothing to report.


Multidisciplinary team discharges



Discharge planning: A multidisciplinary challenge

Fong, A et al

Canadian Journal of Cardiology. September 2011; 27(5) p. SUPPL. 1(S361)

A multidisciplinary team developed the Care Map in an attempt to meet the care needs of patients by facilitating

communication between care providers. The purpose of this paper is to identify the underutilized sections within

the Care Map and analyze the reasons why they were not completed.


Why early discharge in stroke care can be vital for recovery.

Skrypak, M et al

Health Service Journal. 6 January 2012.

Available in fulltext at ProQuest (Legacy Platform)


Nurse-led discharge



The effectiveness of protocol drive, nurse-initiated discharge in a 23-h post

surgical ward.

Webster, J et al

International Journal of Nursing Studies. October; 48(10) p. 1173-1179

This  article  highlights  research by  randomised  controlled  trial  in  Australia  evaluating  the  effectiveness of a

protocol driven, nurse-initiated discharge process on discharge time, patient satisfaction and adverse events.


Patient centred discharges



Evaluating a fast-track discharge service for patients wishing to die at home.

Moback, B et al

International Journal of Palliative Nursing. October; 17(10) p. 501-506

This article highlights research evaluating the effectiveness of a new fast-track discharge service (FTDS) for

patients wishing to die at home or in a care home. Available in fulltext at EBSCOhost





Managing Hospital Readmissions: An Overview of the Issues

Cornett, B et al

Journal of Health Care Compliance. November; 13(6) p. 5-14

The article focuses on several issues regarding the management of hospital readmissions. It highlights the

study by doctors Stephen Jencks, Eric Coleman, and Mark Williams which spurred a focus on finding ways to

solve rehospitalizations in the U.S. It discusses the Program for Evaluating Payment Patterns Electronic Report


Available in fulltext at EBSCOhost


Hospital Perspectives on Reducing and Preventing Readmissions

Healthcare Financial Management. December; 65(12) p. 1-5

The article highlights the perspectives of some hospitals on the reduction and prevention of hospital readmission

in the U.S. It mentions the increasing trend in hospital-acquired infections (HAIs) that been one of the contributing

factors of hospital readmission. The efforts of the hospitals to adopt infection-prevention measures, including

patient isolation and handwashing, are also discussed.

Available in fulltext at EBSCOhost     Available in fulltext at ProQuest (Legacy Platform)


Incidence of potentially avoidable urgent readmissions and their relation to all-cause

urgent readmissions.

van Walraven, C et al

CMAJ Canadian Medical Association Journal. October; 183(14) p. E1067-72

The authors reviewed urgent readmissions to determine which were potentially avoidable and compared rates

of all-cause and avoidable readmissions.

Available in fulltext at EBSCOhost    Available in fulltext at ProQuest (Legacy Platform)


Early discharge and hospital readmission after colectomy for cancer.

Hendren, S et al

Diseases of the Colon & Rectum. November; 54(11) p. 1362-7

This study aimed to determine whether hospitals discharging patients early had increased readmission rates.

Available in fulltext at Ovid


A comparison of preventable hospitalisations and readmissions in Danish

Healthcare system.

Schiotz, M et al

BMC Health Services Research. December; 11 p. 347

The authors investigated population rates of hospitalisation and readmission rates for ambulatory care sensitive,

chronic medical conditions in the two systems.

Available in fulltext here.


Can emergency department nurses performing triage predict the need for


Beardsell, I and Robinson, S

Emergency Medicine Journal. November; 28(11) p. 959-962

The article highlights a research conducted in Southampton into the effectiveness of emergency department

(ED) triage for bed management. The accuracy of ED nurses in predicting at the triage stage which patients

would need to be admitted was examined. The value of comprehensive clinical investigation, not appropriate to

triage but required for making the judgement, was highlighted.

Available in fulltext at Highwire Press


Can post-acute care programmes for older people reduce overall costs in the

health system?

Hall, C.J et al

Health & Social Care in the Community. January; 20(1) p. 97-102

In this paper, the authors review the current evidence on the likely costs and benefits of community based post

acute care discharge services and consider whether they are potentially cost-effective from a health services

perspective, using the Australian Transition Care Programme as a case study.


The relationship between hospital admission rates and rehospitalizations.

Epstein, AM et al

New England Journal of Medicine. December; 365(24) p. 2287-95

Efforts to reduce hospital readmissions have focused primarily on improving transitional care. Yet variation in

readmission rates may more closely reflect variation in the underlying hospitalization rates than differences in

the quality of care during and after discharge.

Available in print at Good Hope Hospital Library.


Simple discharges and Complex discharges



Discharge planning program for asthmatic children.

EkIm, A

Acta Paediatrica, International Journal of Paediatrics. December; 100(94).

The article highlights that the structure of discharge planning for asthmatic children is consisting of an interview

during which information was provided on the nature of asthma, the recognition of risk factors and how to avoid

them, on drugs and devices.



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


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.

To  request articles where there is  no  full text  link, please complete an online article request       form

available on HEFT Library website www.heftlibrary.nhs.uk under ‘Electronic Forms’ menu. Please note

that there is now a charge of £1 for such requests.

For more information on how to register for Athens, access the Athens Registration leaflet via HEFT

Library website www.heftlibrary.nhs.uk under the ‘Publications’ menu.