Discharge Planning- June 2011


Discharge Planning - Evidence Update June 2011


Welcome to the second 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 via your HEFT Athens ID.



Admission Prevention

June 17th, 2011


6 ways to prevent hospital readmissions

June 17th, 2011

Citation: Case Management Advisor, 01 April 2011, vol./is. 22/4(40-40), 10535500

Full Text: Available in fulltext at EBSCO Host


On-site nurses reduce readmissions, overall LOS.

June 17th, 2011

Citation: Case Management Advisor, 01 April 2011, vol./is. 22/4(40-41), 10535500

Full Text: Available in fulltext at EBSCO Host


Unravel the reasons for admissions

June 17th, 2011

Exercise to identify the causes of readmission to hospital in order to implement effective interventions in West Suffolk

Hospitals. Use of a database to record details of patients readmitted, together with clinicians' comments and data from

Dr Foster is described. Citation: Health Service J, April 2011, vol./is. 121/6253(24-5), 0952-2271 (2011 21 Apr) Author(s):

Wilson, N


Bed Management and Capacity Planning

June 17th, 2011

Nothing to report


Discharge coordination

June 17th, 2011


Collaboration of hospital case managers and home care

liaisons when transitioning patients.

June 17th, 2011

This article focuses on the collaborative relationship between the hospital case manager and on-site liaison whose primary

role centers around care coordination and patient teaching. This article discusses how collegiality, collaboration, and role

clarification between hospital case managers and on-site home care liaisons can improve coordination of care and services

for patients and their families in the transition from hospital to home care. Citation: Professional Case Management, 01 May

2011, vol./is. 16/3(128-138), 19328087 Author(s): Kelly, Margaret M., Penney, Erika D.


The challenge of managing change: what can we do

differently to ensure personalisation?

June 17th, 2011

Critique of traditional change management approaches in relation to the introduction of the personalisation agenda to health

and social care. The example of hospital discharge is used to illustrate the need for an alternative model to encourage

cultural transformation and to create communities of practice to improve collaborative working between agencies. Citation:

J Integrated Care, April 2011, vol./is. 19/2(22-9), 1476-9018 (2011 Apr) Author(s): Cornes, M Full Text: Available in fulltext

at EBSCO Host


Discharge process

June 17th, 2011


2011 Benchmarks in Healthcare Case Management:

Responsibilities, Results

June 17th, 2011

The article offers information from 201 healthcare organizations on the responsibilities of case managers and case

management-driven results in healthcare utilization, compliance, and costs. Moreover, the benchmarks present case

management activity in health coaching and discharge planning. Citation: Biomedical Market Newsletter, 17 May 2011, vol./

is. /(439-440), 10644180


Medicines management

June 17th, 2011

Advice on safety procedures which need to be followed when discharging patients with their prescribed medicines. The use

of a self administration of medicines programme, and patient specific directions (PGDs) are discussed. Citation: Nursing

Standard, April 2011, vol./is. 25/33(28), 0029-6570 (2011 20 Apr) Author(s): Griffiths, M Full Text: Available in fulltext at

EBSCO Host Available in fulltext at ProQuest (Legacy Platform)


Feasibility of same-day discharge after laparoscopic surgery

in gynecologic oncology

June 17th, 2011



The purpose of this study is to evaluate whether same-day discharge after laparoscopic gynecologic oncology surgery is

feasible and determines factors associated with admission. Conclusion: Same-day discharge for laparoscopic gynecologic

oncology surgery is feasible, with low morbidity and few readmissions within three weeks of surgery. Successful same-day

discharge can increase by refining patient selection and operating room scheduling. Citation: Gynecologic Oncology, May

2011, vol./is. 121/2(339-343), 0090-8258;1095-6859 (01 May 2011) Author(s): Gien L.T., Kupets R., Covens A.


Education and Practice

June 17th, 2011

Nothing to report


Estimating dates for discharge

June 17th, 2011



Nothing to report


Multidisciplinary team discharges

June 17th, 2011


A literature review of interprofessional working and

intermediate care in the UK.

June 17th, 2011

Systematic research review of intermediate care provision, focusing on interprofessional care in this setting and interventions

used  to develop interprofessional working. The methodologies    and topics of studies published in 2000-2006 were

investigated, including intermediate care policies and definitions in the UK's 4 countries and the promotion and perceived

importance of interprofessional working, particularly in elderly care. Citation: J Clinical Nursing, March 2011, vol./is.

20/5-6(775-83), 0962-1067 (2011 Mar) Author(s): Rout, A, Ashby, S, Maslin-Prothero, S


A service model for delivering care closer to home.

June 17th, 2011

A service model in Worcestershire delivering individualised care to adult patients with complex care needs during acute

health crises. The multi-agency collaborative    service model, which was introduced  to prevent unnecessary    hospital

admissions and facilitate early discharge from hospital, and the role of the Complex Care Team are described. The results

of an evaluation of the service are discussed. Citation: Primary Health Care Research & Development, April 2011, vol./is.

12/2(95-111), 1463-4236 (2011 Apr) Author(s): Dodd, J, Taylor, C, Bunyan, P


Organizing home ventilation

June 17th, 2011

The number of children and young people receiving long term ventilation continues to rise, with increasing survival from

intensive care, improvements in equipment and changing attitudes towards providing respiratory support. There are a

number of barriers to discharge for this group of children, including professional attitudes, problems with commissioning

and funding, and establishment of care packages, in addition to complex social issues and difficulties with housing. Good

discharge planning starts at the outset of establishing a child on long term ventilation, and aims to overcome these barriers,

facilitating discharge in a safe and timely manner. A full assessment of a child and family's needs, having a discharge

coordinator and working in partnership with the family and the agencies involved, are all key to the success of this process.

Citation: Paediatrics and Child Health, May 2011, vol./is. 21/5(224-229), 1751-7222 (May 2011) Author(s): Smith H., Hilliard



Nurse-led discharge

June 17th, 2011



Nothing to report


Patient centred discharges

June 17th, 2011


Information needs of Chinese surgical patients on discharge:

a comparison of patients' and nurses' perceptions.

June 17th, 2011



Qualitative research in Hong Kong exploring Chinese patients' discharge information needs after abdominal surgery. Nurse

and patient perceptions of patient discharge information needs were compared, including those relating to physical health,

wound care, pain and prevention of complications. Patients' unmet information needs in respect of their psychological, social

and cultural concerns are highlighted. Citation: J Advanced Nursing, May 2011, vol./is. 67/5(1041-52), 0309-2402 (2011

May) Author(s): Yiu, H, Chien, W, Lui, M Full Text: Available in fulltext at Ovid


Ensure patients' needs are met after discharge

June 17th, 2011

Understand    patients'    benefits,    and  create   a  discharge    plan  based   on  co-pays    they   can  afford.    Consider medication

assistance or asking for cheaper alternatives if their prescriptions aren't covered. Look for alternatives to home health if

patients don't have that benefit. Citation: Hospital Case Management, 01 May 2011, vol./is. 19/5(68-69), 10870652 Full

Text: Available in fulltext at EBSCO Host Available in fulltext at ProQuest (Legacy Platform)


Simple discharges and Complex discharges

June 17th, 2011


Hospital discharge risk score system for the assessment

of clinical outcomes in patients with acute myocardial

infarction (Korea Acute Myocardial Infarction Registry

KAMIR score)

June 17th, 2011

The aim of this study was to develop a novel and simple assessment tool for better hospital discharge risk stratification. In

conclusion, the KAMIR score for patients with acute myocardial infarction is a simpler and better risk scoring system than

the GRACE hospital discharge risk model in prediction of 1-year mortality.


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]


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