An Iterative Quality Improvement Process Improves Pediatric Ward Discharge Efficiency.

ABSTRACT:

Objectives

Discharge of hospitalized pediatric patients may be delayed for various "nonmedical" reasons. Such delays impact hospital flow and contribute to hospital crowding. We aimed to improve discharge efficiency for our hospitalized pediatric patients by using an iterative quality improvement (QI) process.

Methods

Opportunities for improved efficiency were identified using value stream mapping, root cause, and benefit-effort analyses. QI interventions were focused on altered physician workflow, standardized discharge checklists, and physician workshops by using multiple plan-do-study-act cycles. The primary outcome of percentage of discharges before noon, process measure of percentage of discharges with orders before 10 am, and balancing measures of readmission rate, eme

SUBMITTER: Hamline MY 

PROVIDER: S-EPMC7041555 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature