Related Experiment Video
Updated: Feb 28, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
18.0K
A team approach to effectively discharge trauma patients
James M Bardes1, Uzer Khan1, Nicole Cornell1
1Division of Trauma, Acute Care Surgery and Critical Care, Department of Surgery, West Virginia University, Morgantown, West Virginia.
The Journal of Surgical Research
|June 12, 2017
Summary
Implementing a dedicated discharge team significantly improved the discharge by noon rate for trauma patients. This initiative enhances hospital efficiency and resource utilization for high-acuity trauma populations.
Area of Science:
- Trauma surgery
- Healthcare management
- Hospital operations
Background:
- Trauma patients are a high-volume, high-acuity group requiring complex discharge planning.
- Discharge by noon is a key metric for hospital throughput and efficiency.
- Optimizing resource utilization is crucial for managing trauma patient flow.
Purpose of the Study:
- To evaluate the impact of a standardized discharge team on length of stay.
- To assess the effect of a discharge team on the discharge by noon rate.
- To improve hospital efficiency and resource utilization in trauma care.
Main Methods:
- A university level I trauma center implemented a specialized discharge team.
- The team consisted of a trauma attending and an advanced practice provider.
- A retrospective review compared discharge metrics before and after team implementation.
Main Results:
- Discharge by noon rates increased from 25.5% to 51.2% post-implementation.
- Significant improvements were observed even for patients with an injury severity score >15 (22.5% to 51.9%).
- These gains were consistent across different discharge dispositions and payer statuses.
Conclusions:
- A dedicated discharge team can substantially increase the discharge by noon rate.
- The positive impact on discharge efficiency is maintained regardless of patient severity or disposition.
- Implementing such teams offers potential for significant cost savings for both patients and facilities.
Related Concept Videos
01:26Flail Chest-II
747
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
747
01:28Acute Coronary Syndrome IV: Interprofessional Care
347
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
347
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
8.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
8.2K
01:25Elements Crucial for Effective Psychotherapy
379
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
379
01:31Discharge Summary Forms
1.3K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.3K
01:28Psychotherapy
566
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
566