Things We Do for No Reason™: Discharge before noon

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of hospital medicine Pub Date : 2024-04-13 DOI:10.1002/jhm.13367

Aaron N. Dunn, Elise P. Lu

引用次数: 0

Abstract

CLINICAL SCENARIO

A hospital has recently implemented a goal of 30% of discharges before noon to address overcrowding and boarding in the emergency department (ED). To accommodate this, resident didactics were cut to 30 min and the hospital medicine team starts rounding at 8:30 a.m. On rounds, teams are encouraged to prioritize patients who are possible discharges to meet the administrative goal. The medical student, who is covering two of the more complex patients who are not ready for discharge and about whom she has several questions, worries that this change in priorities will negatively impact her patients by delaying their evaluation. She asks about this change in rounding structure and how inpatient discharges affect the ED.

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我们无缘无故做的事情™：中午前出院

临床实践最近，一家医院为解决急诊科（ED）过度拥挤和寄宿的问题，提出了在中午前完成 30% 出院病人的目标。为了实现这一目标，住院医师授课时间缩短为 30 分钟，医院内科团队从早上 8:30 开始查房。在查房时，团队被鼓励优先处理可能出院的病人，以达到管理目标。医科学生负责两名尚未准备好出院的复杂病人，她对这两名病人有几个问题，她担心这种优先顺序的改变会延误对病人的评估，从而对病人产生负面影响。她询问了查房结构的变化以及住院病人出院对急诊室的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of hospital medicine 医学-医学：内科

CiteScore

4.40

自引率

11.50%

发文量

233

审稿时长

4-8 weeks

期刊介绍： JHM is a peer-reviewed publication of the Society of Hospital Medicine and is published 12 times per year. JHM publishes manuscripts that address the care of hospitalized adults or children. Broad areas of interest include (1) Treatments for common inpatient conditions; (2) Approaches to improving perioperative care; (3) Improving care for hospitalized patients with geriatric or pediatric vulnerabilities (such as mobility problems, or those with complex longitudinal care); (4) Evaluation of innovative healthcare delivery or educational models; (5) Approaches to improving the quality, safety, and value of healthcare across the acute- and postacute-continuum of care; and (6) Evaluation of policy and payment changes that affect hospital and postacute care.