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Updated: Dec 30, 2025

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Improving Discharge Outcomes by Using a Standardized Risk Assessment and Intervention Tool Facilitated by Advanced

Kamakshya P Patra1, Nicholas Mains2, Crystal Dalton2

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A standardized pediatric discharge process significantly improved patient satisfaction and readiness for discharge. This evidence-based approach also reduced hospital length of stay and enhanced care transitions.

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Area of Science:

  • Pediatric hospital medicine
  • Healthcare quality improvement
  • Patient safety

Background:

  • Pediatric discharge is a complex process prone to errors.
  • Standardized protocols are needed to improve the transition of care for pediatric patients.

Purpose of the Study:

  • To evaluate the impact of a standardized discharge process on pediatric patients.
  • To assess improvements in patient satisfaction, care transition metrics, and hospital length of stay.

Main Methods:

  • A 1-year pre- and postintervention pilot study.
  • Intervention involved a standardized bundle facilitated by advanced practice providers, including risk identification.
  • Metrics included patient satisfaction, handout use, follow-up appointment scheduling, and postdischarge phone calls.

Main Results:

  • Significant improvements in all patient satisfaction domains: overall discharge, speed, readiness, and instructions.
  • A significant decrease in length of hospital stay postintervention.
  • The checklist identified ~4% of discharges lacking a correct primary care physician; half of patients had risks identified.

Conclusions:

  • An evidence-based discharge checklist enhances processes, patient education, and family perceptions.
  • Stakeholder involvement, adapted interventions, and consistent provider implementation are key to improving care transitions.