Key result
Two hospital-wide patient flow management interventions increased the discharge-before-noon rate from 14% in the preintervention period to 24% postintervention.
Why the study?
Do 2 patient flow management techniques increase the discharge-before-noon percentage in inpatients?
Observational
No
Do 2 patient flow management techniques increase the discharge-before-noon percentage in inpatients?
Absolute Event Rate: 24% vs 14%
Implementation of two patient flow management techniques successfully increased the percentage of discharges before noon from 14% to 24% without negatively impacting patient satisfaction or readmission rates.
May support hospital throughput initiatives; leaves open confirmation of outcome benefits in prospective trials.
OBJECTIVE: The aim of this study is to evaluate the effect of 2 hospital-wide interventions on achieving a discharge-before-noon rate of 40%. BACKGROUND: A multidisciplinary team led by administrative and physician leadership developed a plan to diminish capacity constraints by minimizing late afternoon hospital discharges using 2 patient flow management techniques. METHODS: The study was a preintervention/postintervention retrospective analysis observing all inpatients discharged across 19 inpatient units in a 484-bed, academic teaching hospital measuring calendar month discharge-before-noon percentage, patient satisfaction, and readmission rates. Patient satisfaction and readmission rates were used as baseline metrics. RESULTS: The discharge-before-noon percentage increased from 14% in the 11-month preintervention period to an average of 24% over the 11-month postintervention period, whereas patient satisfaction scores and readmission rates remained stable. CONCLUSIONS: Implementation of the 2 interventions successfully increased the percentage of discharges before noon yet did not achieve the goal of 40%. Patient satisfaction and readmission rates were not negatively impacted by the program.
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Kane et al. (2016) conducted an observational in Inpatients. Two hospital-wide patient flow management interventions vs. 11-month preintervention period was evaluated on discharge-before-noon percentage. Two hospital-wide patient flow management interventions increased the discharge-before-noon rate from 14% in the preintervention period to 24% postintervention.
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