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Tracking Discharge Delays: Critical First Step Toward Mitigating Process Breakdowns and Inefficiencies
Diane E Holland1, Joel E Pacyna, Kristine L Gillard
1Division of Nursing Research (Dr Holland), Biomedical Ethics Program (Mr Pacyna), and Department of Nursing (Mss Gillard and Carter), Mayo Clinic, Rochester, Minnesota.
Abstract:
This article reports on the development and evaluation of a mechanism designed for real-time tracking of discharge delays by bedside clinicians and the reporting of delays in a manner amenable to action. During the implementation phase, delay time totaled 23.6 days for 114 patients affected by a delay. More than one-half of delays (61.4%) occurred for patients whose discharge disposition was home to self-care.
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