De Grood Anna, Blades Kenneth, Pendharkar Sachin R
Research Assistant, Ward of the 21st Century, University of Calgary, Calgary, AB.
Research Associate, Ward of the 21st Century, University of Calgary, Calgary, AB.
Healthc Policy. 2016 Nov;12(2):105-115.
Discharge prediction is designed to streamline inpatient flow and reduce hospital overcrowding without adding capacity. This study's objective was to describe the literature on discharge prediction and assess its usefulness in evaluating the implementation and outcomes of discharge prediction projects.
The authors reviewed the current peer-reviewed and grey literature on discharge prediction projects in acute care hospitals. Project descriptions were analyzed using Donabedian's structure-process-outcome model for evaluating complex healthcare innovations.
The review revealed a paucity of literature on the use and effectiveness of discharge prediction. There is high variation in its use and generally poor reporting of both implementation and outcomes.
The literature on discharge prediction generally lacks the descriptive detail that would be useful to parties considering or planning a discharge prediction initiative. Further study is required to determine how best to integrate these prediction tools into acute care hospitals.
出院预测旨在优化住院流程并减少医院过度拥挤情况，而无需增加床位。本研究的目的是描述关于出院预测的文献，并评估其在评估出院预测项目的实施情况和结果方面的实用性。
作者回顾了当前关于急性护理医院出院预测项目的同行评审文献和灰色文献。使用多纳贝迪安的结构-过程-结果模型对项目描述进行分析，以评估复杂的医疗创新。
综述发现关于出院预测的使用和有效性的文献较少。其使用存在很大差异，并且实施情况和结果的报告普遍不佳。
关于出院预测的文献通常缺乏对考虑或规划出院预测举措的各方有用的描述细节。需要进一步研究以确定如何最好地将这些预测工具整合到急性护理医院中。
