Discharge Planning- July 2011


Discharge Planning - Evidence Update July 2011


Welcome to the third 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

Nothing to report


Capacity planning

Nothing to report


Discharge coordination



The SignOut Discharge Summary System: using workflow byproducts

to pre-populate and assemble discharge summaries

Multiple studies demonstrate that discharge summaries, a means of improving information exchange between

inpatient and outpatient providers, are frequently not available to the outpatient provider at the time of the post

discharge visit. This paper highlights a web-based solution for generating discharge summaries. Citation: Studies

in Health Technology & Informatics, 2011, vol./is. 164/(25-31), Author(s): Kannry J, Bilumane P, Goldenberg J




Management of patients with Stroke: REDS (Reach Early Discharge


The aim of this initiative was to discharge patients, post stroke, within 24 hours. The Stroke REACH Early

Discharge Scheme (Stroke REDS) is a specialist interdisciplinary team that can assess, facilitate and complete

the discharge of patients post stroke, within 24 hours (sometimes same day) from receipt of referral. Publisher:

NHS  Camden  Provider  Services.  Source:  QIPP-NHS  Evidence  Publication   Date:  23  June  2011  Full text:

Available in fulltext at





Discharge process


Survey of current pre-discharge home visiting practices of occupational


Discharge planning frequently involves occupational therapy pre-discharge home visiting as one component of

intervention. Pre-discharge home visits aim to maximise a person's functional performance, bridging the transition

between hospital and home. The aim of this study was to describe the pre-discharge home visiting practices

of occupational therapy departments. Citation: Australian Occupational Therapy Journal, 01 June 2011, vol./is.

58/3(172-177), 00450766 Author(s): Lannin, Natasha A., Clemson, Lindy, McCluskey, Annie




A consensus on stroke: early supported discharge

This article highlights the efforts to create a consensus document that can be used by commissioners and service

providers in implementing ESD services. Citation: Stroke, May 2011, vol./is. 42/5(1392-7), 0039-2499;1524-4628

(2011 May) Author(s): Fisher RJ, Gaynor C, Kerr M, Langhorne P, Anderson C, Bautz-Holter E, Indredavik B,

Mayo NE, Power M, Rodgers H, Ronning OM, Widen Holmqvist L, Wolfe CD, Walker MF. Full Text: Available

in fulltext at Ovid




The FIMTM as a measure of change in function after discharge from

inpatient rehabilitation: a Canadian perspective

The purpose of this research was to examine the FIMTM as an outcome measure at follow-up following discharge

from inpatient rehabilitation. Citation: Disability & Rehabilitation, 2011, vol./is. 33/7(579-88), Author(s): Passalent

LA, Tyas JE, Jaglal SB, Cott CA




Education and practice

Nothing to report


Estimating dates for discharge



Association of door-in to door-out time with reperfusion

delays and outcomes among patients transferred for primary

percutaneous coronary intervention

Citation: JAMA, June 2011, vol./is. 305/24(2540-7) Author(s): Wang TY, Nallamothu BK, Krumholz HM, Li S, Roe MT,

Jollis JG, Jacobs AK, Holmes DR, Peterson ED, Ting HH The aim of this study was to characterize time to reperfusion and

patient outcomes associated with a DIDO (Door-in to door-out) time of 30 minutes or less.


Multidisciplinary team discharges

Nothing to report


Nurse-led discharge



"Sign right here and you're good to go": a content analysis of

audiotaped emergency department discharge instructions

The goal of this study is to quantitatively and qualitatively assess the quality and content of verbal discharge

instructions at 2 emergency departments (EDs). Citation: Annals of Emergency Medicine, April 2011, vol./is.

57/4(315-322.e1), 0196-0644;1097-6760 (2011 Apr) Author(s): Vashi A, Rhodes KV. Full Text: Available in

fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


Patient centred discharges

Nothing to report


Simple discharges and Complex discharges



Accumulated frailty characteristics predict postoperative discharge

institutionalization in the geriatric patient

Discharge  institutionalization   (rather  than  discharge  to  home)   represents  disease  burden  and functional

dependence after hospitalization. The aim of this study was to determine the relationship between frailty and

need for postoperative discharge institutionalization. Citation: Journal of the American College of Surgeons, July

2011, vol./is. 213/1(37-42), 1072-7515;1879-1190 (July 2011) Author(s): Robinson T.N., Wallace J.I., Wu D.S.,

Wiktor A., Pointer L.F., Pfister S.M., Sharp T.J., Buckley M.J., Moss M. Full Text: Available in fulltext at MD

Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


Prognostic prediction in patients with hip fracture: Risk factors

predicting difficulties with discharge to own home

Little  is  known  about  risk factors  that  may  prevent  hip  fracture  patients  from  being  discharged  to home.

The  present  study aimed  to  investigate  possible  prognostic  factors.  Citation:  Journal  of  Orthopaedics and

Traumatology, June 2011, vol./is. 12/2(77-80) Author(s): Hagino T., Ochiai S., Sato E., Watanabe Y., Senga

S., Haro H.


Postoperative disposition and health services use in elderly

patients undergoing colorectal cancer surgery: a population-

based study

Citation: Surgery, May 2011, vol./is. 149/5(705-12), 0039-6060;1532-7361 (2011 May) Author(s): Devon KM, Urbach DR,

McLeod RS The objective of this  study  was to describe the disposition  and resource use of Ontario's elderly population

undergoing colorectal cancer operations as well as to identify predictors of outcomes using population-based data. It found

that elderly patients require more support; therefore, discharge planning should be part of preoperative assessment and




NB: 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.

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. Kindly 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.