Lees-Deutsch Liz, Yorke Janelle, Caress Ann-Louise
PhD student; Consultant Nurse in Acute Medicine, Heart of England NHS Foundation Trust, Birmingham.
Professor of Nursing, School of Nursing, Midwifery and Social Work, University of Manchester and University Hospital of South Manchester NHS Foundation Trust.
Br J Nurs. 2016 Nov 10;25(20):1135-1143. doi: 10.12968/bjon.2016.25.20.1135.
Acute medicine units (AMUs) are part of acute hospital care, where length of patient stay is short and turnover is high. Expediting patient discharge safely is a major function of AMUs, which need up-to-date bespoke guidance.
To carry out a scoping review of UK discharge policy to critically consider, compare and contrast the relevant discharge policies and guidance that underpin the assessment of acute patient discharge.
To inform the production of bespoke patient discharge guidance for AMUs. Design and stages: Identify the review questions; identify relevant studies; select the studies; chart the data; collate, summarise and report the results.
28 patient discharge policy guidelines were identified that had no specific guidance for patient discharge from AMUs. New bespoke principles for AMUs were created through a pragmatic interpretation of current relevant policies.
There is a gap in specific patient discharge guidance for AMUs. New guidance should contribute in practice to improve patient discharge.
急性医疗单元是急性医院护理的一部分，患者住院时间短且周转率高。安全加快患者出院是急性医疗单元的一项主要功能，急性医疗单元需要最新的定制指南。
对英国出院政策进行范围审查，以批判性地考虑、比较和对比支撑急性患者出院评估的相关出院政策和指南。
为急性医疗单元制定定制的患者出院指南提供参考。设计与阶段：确定审查问题；识别相关研究；选择研究；梳理数据；整理、总结并报告结果。
共识别出28项患者出院政策指南，但其中没有针对急性医疗单元患者出院的具体指南。通过对当前相关政策的务实解读，为急性医疗单元制定了新的定制原则。
急性医疗单元在患者出院的具体指南方面存在空白。新指南应在实践中有助于改善患者出院情况。
