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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
Scheme)
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
therapists
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
discussions.
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.
