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A Systematic Review of Criteria-Led Patient Discharge
Liz Lees-Deutsch1, Jane Robinson
1University 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).
Background:
This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.
Purpose:
Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection.
Methods:
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.
Results:
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.
Conclusions:
The safety, quality, and length of stay for patients discharged through criteria-led discharge are inextricably linked to the process adopted for its implementation.
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