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A Systematic Review of Criteria-Led Patient Discharge

Lees-Deutsch, Liz, MSc, Dip HSM, RN; Robinson, Jane, BSc, RN

doi: 10.1097/NCQ.0000000000000356
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Background: This article reports on a systematic review conducted to critique safety, quality, length of stay, and implementation factors regarding criteria-led discharge.

Purpose: Improving patient flow and timely bed capacity is a global issue. Criteria-led discharge enables accelerated patient discharge in accordance with patient selection.

Methods: A systematic review was conducted to identify literature on criteria-led discharge from 2007 to 2017. The quality of articles was appraised using a tool for disparate studies. Two reviewers extracted relevant data independently.

Results: Fifteen studies were identified that showed no increase in patient readmission or complication rates with criteria-led discharge, demonstrating patient safety. The quality of the patient discharge was unremarkable. None of the studies showed an increase in length of stay.

Conclusions: The safety, quality, and length of stay for patients discharged through criteria-led discharge are inextricably linked to the process adopted for its implementation.

University Hospitals Birmingham, NHS Foundation Trust, Heartlands Hospital, West Midlands, United Kingdom (Ms Lees-Deutsch); The University of Birmingham, Birmingham, West Midlands, United Kingdom (Ms Lees-Deutsch); Society for Acute Medicine, Edinburgh, United Kingdom (Ms Lees-Deutsch); National Health Service Improvement, London, United Kingdom (Ms Robinson); and Royal College of Nursing, London, United Kingdom (Ms Robinson).

Correspondence: Liz Lees-Deutsch, MSc, Dip HSM, RN, University Hospitals Birmingham, NHS Foundation Trust, Heartlands Hospital, Bordesley Green, Birmingham B9 5SS, West Midlands, United Kingdom (liz.lees-deutsch@nhs.net).

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: July 9, 2018

Published ahead of print: September 6, 2018

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