Lees-Deutsch Liz, Robinson Jane
University Hospitals Birmingham, NHS Foundation Trust, Heartlands Hospital, West Midlands, United Kingdom (Ms Lees-Deutsch); The University of Birmingham, Birmingham, West Midlands, United Kingdom (Ms Lees-Deutsch); Society for Acute Medicine, Edinburgh, United Kingdom (Ms Lees-Deutsch); National Health Service Improvement, London, United Kingdom (Ms Robinson); and Royal College of Nursing, London, United Kingdom (Ms Robinson).
J Nurs Care Qual. 2019 Apr/Jun;34(2):121-126. doi: 10.1097/NCQ.0000000000000356.
This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.
Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection.
A systematic review was conducted to identify literature on criteria-led discharge from 2007 to 2017. The quality of articles was appraised using a tool for disparate studies. Two reviewers extracted relevant data independently.
Fifteen studies were identified that showed no increase in patient readmission or complication rates with criteria-led discharge, demonstrating patient safety. The quality of the patient discharge was unremarkable. None of the studies showed an increase in length of stay.
The safety, quality, and length of stay for patients discharged through criteria-led discharge are inextricably linked to the process adopted for its implementation.
本文报告了一项系统性综述，旨在对基于标准的出院的安全性、质量、住院时间及实施因素进行批判性分析。
改善患者流程及及时的床位容量是一个全球性问题。基于标准的出院能够根据患者选择加速患者出院。
进行了一项系统性综述，以识别2007年至2017年期间关于基于标准的出院的文献。使用一种针对不同研究的工具对文章质量进行评估。两名评审员独立提取相关数据。
共识别出15项研究，这些研究表明基于标准的出院并未导致患者再入院率或并发症发生率增加，证明了患者安全性。患者出院质量无显著差异。没有一项研究显示住院时间增加。
通过基于标准的出院方式出院的患者的安全性、质量和住院时间与实施该方式所采用的流程紧密相关。
