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June 12, 2026Journal of Patient SafetyOpen Access

Successful hospital discharge relies on anticipating, connecting, and simplifying care through flexible daily policies.

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Why the study?

To understand the underlying working mechanisms and influencing context that contribute to successful hospital discharge.

What are the underlying working mechanisms and influencing context of successful hospital discharge?

Population

Patients and healthcare professionals involved in the discharge process on a ward where discharge was perceived successful

Design

Realist evaluation using observations, individual interviews, and focus group interviews

Key result

Successful hospital discharge is achieved through three underlying working mechanisms—anticipating, connecting, and simplifying—that require flexible and adaptable policies in daily practice.

Authors

MSMilou SteenbergenSVSigrid CJM VervoortEGEsther de Groot

Discussion

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Overview

Initial discharge program theory is hypothesis-generating; prospective validation required before any practice implications.

Key Points

  • This research seeks to uncover the mechanisms and contexts that contribute to successful hospital discharges.
  • Conducted a realist evaluation involving observations and interviews
  • Engaged both patients and health care professionals
  • Used framework analysis to develop program theory
  • Identified three mechanisms: anticipate, connect, and simplify for successful discharges
  • Mechanisms are influenced by the context of daily practice
  • Emphasized the need for flexible policies for health care professionals

Structured PICO

What are the underlying working mechanisms and influencing context of successful hospital discharge?

P
Population
Patients and healthcare professionals involved in the discharge process on a ward where discharge was perceived to be successful
E
Exposure
Successful hospital discharge process (qualitative evaluation)
O
Outcome
Underlying working mechanisms and influencing context of successful discharge

Successful hospital discharge is achieved through anticipating, connecting, and simplifying, suggesting that discharge policies should be flexible and adaptable to daily context variations.

Cite This Study

Steenbergen et al. (2026) studied Hospital discharge. Successful hospital discharge process was evaluated on Underlying working mechanisms of successful discharge. Successful hospital discharge is achieved through three underlying working mechanisms—anticipating, connecting, and simplifying—that require flexible and adaptable policies in daily practice.

synapsesocial.com/papers/6a2bd1386550ea4541ffe995https://doi.org/10.1097/pts.0000000000001539
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