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The Blaylock Risk Assessment Screening Score in Neurology-A Monocentric Cohort Study.

Andrea Streit1, Magdalena Hoffmann, Andreas Blesl

  • 1Author Affiliations: Department of Surgery, Research Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Graz, Austria (Ms Streit and Drs Hoffmann and Schwarz); Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria (Ms Streit and Drs Blesl, Schwarz, Brunner, and Hoffmann); Executive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria (Dr Hoffmann); Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria (Dr Hoffmann); Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria (Ms Borenich); and Executive Department of Nursing, University Hospital of Graz, Graz, Austria (Mr Pretterhofer).

Quality Management in Health Care
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

The Blaylock Risk Assessment Screening Score (BRASS) did not shorten hospital stays but decreased outpatient readmissions. This tool may improve patient discharge management and reduce hospital readmissions.

Keywords:
discharge managementdischarge planningrisk assessment tool

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Area of Science:

  • Healthcare Management
  • Nursing Assessment
  • Patient Discharge

Background:

  • Effective hospital discharge planning requires comprehensive patient risk assessment.
  • Adverse events during discharge impact patient outcomes and healthcare costs.
  • The Blaylock Risk Assessment Screening Score (BRASS) is a tool for identifying at-risk patients.

Purpose of the Study:

  • To evaluate the impact of implementing the Blaylock Risk Assessment Screening Score (BRASS) on hospital length of stay.
  • To assess the effect of BRASS on patient readmission rates and discharge destinations.
  • To determine the influence of BRASS on nurse satisfaction with discharge planning.

Main Methods:

  • BRASS was integrated into routine nursing assessments on two neurology wards for three months.
  • Data on length of stay and readmissions were retrospectively compared to periods without BRASS.
  • A paper-based survey assessed nurse satisfaction with the BRASS tool.

Main Results:

  • Median hospital length of stay was significantly longer with BRASS implementation (8 days) compared to previous years (6 days).
  • Overall readmission rates showed no significant difference, but outpatient readmissions decreased (17% with BRASS vs. 23% without).
  • Discharge to home increased, suggesting improved discharge destination planning.

Conclusions:

  • BRASS implementation did not reduce hospital length of stay.
  • BRASS use was associated with decreased outpatient readmissions and increased home discharges.
  • BRASS shows potential as a valuable tool for enhancing discharge management and preventing readmissions.