Early availability of laboratory results increases same day ward discharge rates
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
Abstract© 2018 Walter de Gruyter GmbH, Berlin/Boston. Delayed discharge reduces hospital efficiency and inconveniences patients. Most hospitals discharge in the afternoon, whereas the most common admission time is mid-morning. Consequently, new patients wait for the beds of patients who are fit to be discharged. Earlier discharge may, therefore, improve patient flow. We investigated the impact of early phlebotomy with early availability of laboratory results on patient discharge rates and discharge time. Discharge rates, discharge time and sample turnaround time were assessed before (1 October 2014 to 31 December 2014) and after (1 October 2015 to 31 December 2015) introduction of earlier phlebotomy with availability of laboratory results prior to the ward rounds on two surgical wards. Following the intervention, over 95% of results were available before 8:30 am in 2015 as compared to less than 1% in 2014. Specimen turnaround times were similar in both study periods. Even after adjustment for age, gender, admission type and length of admission, the same day discharge rate was higher in 2015 compared to 2014 (60% vs. 52%; p<0.002), but time of discharge was unchanged. Early availability of blood results prior to ward rounds increased ward discharges but did not affect discharge time.
CitationCornes, M.P., Danks, G., Elgaddal, S., Jawad, M., Tonks, J., Ries, E., Ford, C. and Gama, R. (2018) Early availability of laboratory results increases same day ward discharge rates, Clinical Chemistry and Laboratory Medicine, 56(11), pp. 1864–1869.
PublisherWalter de Gruyter GmbH
JournalClinical Chemistry and Laboratory Medicine
PubMed ID29924733 (pubmed)
DescriptionThis is the published version of an article published by Walter de Gruyter GmbH in Clinical Chemistry and Laboratory Medicine on 20/06/2018, available online: https://doi.org/10.1515/cclm-2018-0261
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/
- Early availability of laboratory results increases same day ward discharge rates.
- Authors: Cornes MP, Danks G, Elgaddal S, Jawad M, Tonks J, Ries E, Ford C, Gama R
- Issue date: 2018 Oct 25
- Late-afternoon communication and patient planning (CAPP) rounds: an intervention to allow early patient discharges.
- Authors: Kher S, Haas M, Schelling K, Wright S, Allison H, Poutsiaka DD, Roberts KE, Chang H, Salem DN, Kopelman R, Freund KM
- Issue date: 2021 Feb
- Slick scripts: impact on patient flow targets of pharmacists preparing discharge prescriptions in a hospital with an electronic prescribing system.
- Authors: Tran T, Hardidge A, Heland M, Taylor SE, Garrett K, Mitri E, Elliott RA
- Issue date: 2017 Apr
- Impact of a psychiatric unit's daily discharge rates on emergency department flow.
- Authors: Bastiampillai T, Schrader G, Dhillon R, Strobel J, Bidargaddi N
- Issue date: 2012 Apr