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Analysing Monday discharges to identify lost opportunities for weekend discharge
Margaret Shyu1, Sophia Golec1, Justine Anderson1
1Department of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Abstract:
Lower rates of hospital discharge occur on weekends compared with weekdays. The authors performed a retrospective chart review of Monday discharges from the Hospital Medicine service at an academic hospital over a 3-month period to identify reasons for delayed discharge despite medical stability. Of 202 eligible patients, 81 (40%) had documentation indicating stability for earlier discharge. Common causes included bed availability or insurance authorisation at a skilled nursing facility, home care services and patient/family disagreement with discharge.
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