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 |
| N | % | N | % | ||
| Age** | |||||
| age < 65 year old | 2,654 |
18.7 |
11,545 |
81.3 |
0.001a |
| age > 64 years old | 1,258 | 16.8 | 6,213 | 83.2 |
a： Chi-Square test
** p < 0.01
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