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Dating a patient after discharge

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About

Don't cross the line: respecting professional boundaries.

Chapter 2Hospital discharge and patient safety: The first addresses the safety challenge of hospital discharge, elaborating this as a problem of co-ordination and collaboration among various health and social care agencies. Attention is given to major policy changes and interventions aimed at enhancing discharge, as well as research evidence on clinical risk and patient safety. The second literature develops the analysis of patient safety as applied to hospital discharge, suggesting that the transition from acute hospital to community care might be interpreted as a complex system with vulnerable connections between multiple actors. The chapter draws together these literatures to explore how knowledge sharing might be a source of system safety through helping to co-ordinate and integrate the activities of different agencies and, in turn, reducing system complexity. Understanding hospital discharge Locating hospital discharge Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other primary, community or domestic environments.

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About Tackling Discharge Timeliness One Step at a Time Marlena Kane, executive director, Value Stream Initiatives, leads a multidisciplinary discussion of how improving the use of estimated discharge dates can improve discharge timeliness at Stanford. Discharging patients in a timely manner remains an important factor in Stanford Hospital's inability to accommodate all patients who need and want services. In , only 15 percent of patients were discharged by noon. The difficulty in freeing up beds with early discharges feeds into greater access and capacity issues. Last year, the Emergency Department boarded an average of patients per month, the Transfer Center had more than denials due to lack of beds, lack of staff, or bed delays, and in January of this year, the hospital experienced such catastrophic crowding that 18 operative cases had to be canceled. As part of the larger hospital-wide Patient Flow Value Stream work, a multidisciplinary team of physicians, nurses and administrative leaders is focusing on improving the hospital's ability to discharge patients more efficiently and timely.

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What I consider horrible advice, is acting like you're a know it all, and telling other posters they are wrong for providing different viewpoints. Differing viewpoints is the stimulus for great debates and is welcomed, ICUman! Having several years of experience has afforded me the opportunity to make, and learn from, my MANY mistakes. Bringing situations to the light and considering different options allows others the same opportunity.

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Mentor moment: Predicting the expected date of discharge

Estimating date of discharge at ward level: Lees L 1 , Holmes C. Reimbursement is part of the government's strategy to reduce the level of delayed patient discharge from hospital.

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