Michaele Kennedy, Lauren A Wolff, Joan Kennedy, Melanie Smith-Fortney, Laura Fennimore
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Optimizing the Discharge Lounge Efficiency: A Quality Improvement Initiative With Innovative Approaches.
Background: Patient discharge lounges have been used to improve hospital throughput for more than 30 years; however, their implementation has been inconsistent due to varying levels of engagement from providers, staff, and patients.
Local problem: A project team sought to reduce wait times for patients admitted from the emergency department (ED) by reducing discharge delays.
Methods: This quality improvement initiative used a pre/post-implementation design.
Intervention: Key strategies included selecting appropriate staff, identifying eligible patients, ensuring timely delivery of discharge medications, and interprofessional education. The discharge lounge was uniquely staffed by unlicensed patient care technicians.
Results: Discharge lounge use increased by 12.5%. The time from written discharge order to the patient's departure from an inpatient unit decreased by 14 minutes, and ED wait time decreased by an average of 192 minutes.
Conclusion: These innovative strategies yielded positive returns and may help other organizations to improve patient throughput.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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