Purpose: The aim of this pre-/post-intervention retrospective analysis study is to increase the morning discharge percentage between 8am and 10am in a 1680 beds university medical center in Taiwan.
Intervention: The steering group create a Discharging Procedure Program (DPP) to enhance everyone’s responsibilities for early discharge. We initiated several meeting rounds to explain the procedure and fully communicated with all participants. A next-day patients discharge list was created and a short message was sent at daily 8:00 am to notify physician and nurse practitioner to remind the scheduled discharge patients at the same day. We also created a website to monitor the patients expected to be discharged since April 2016.
Results:Total 21670 patients discharge was analyzed. The early discharge percentage increased from 15% to 19% over the 5-month intervention. The non-elderly (age < 65 year old) group has more earlier hospital discharges than the elderly group (age > 64 years old) (p<0.001)(see Table one).
Conclusions: Our study demonstrates that increased patients early discharge could be possible by a team work. Future effort and investigation will allow for better early discharge and understanding of the difficulties on hospital discharges of the elderly.
Table one:Hospital discharges of the elderly
|Variables||Discharge between 8am and 10am||Discharge between 8am and 10am||Non-Discharge between 8am and 10am||Non-Discharge between 8am and 10am||X2|
|age < 65 year old||
|age > 64 years old||1,258||16.8||6,213||83.2|
a： Chi-Square test
** p < 0.01
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