Impact of accurate initial discharge planning and inpatient transfers of care on discharge delays: a retrospective cohort study
This study finds a strong association between inaccurate initial discharge plans and inpatient transfers of care with discharge delay, after controlling for patient complexity and acuity. This highlights the need to consider how initial plans and inpatient transfers affect discharge planning. Given the lead times for organising onward care, operational inefficiencies are most impactful for patients eventually discharged on pathways with higher planning complexity.
Authors
- Christopher Duckworth (ORCID: https://orcid.org/0000-0003-0659-2177)
- Carlos Lamas‐Fernandez (ORCID: https://orcid.org/0000-0001-5329-7619)
- Daniel Burns (ORCID: https://orcid.org/0000-0001-6976-1068)
- Mark Wright (ORCID: https://orcid.org/0000-0001-7046-241X)
- Michael R. George
- Matthew Stammers (ORCID: https://orcid.org/0000-0003-3850-3116)
- Michael Boniface (ORCID: https://orcid.org/0000-0002-9281-6095)
- Rachael Leyland
Institutions
- University Hospital Southampton NHS Foundation Trust (GB)
- University of Southampton (GB)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1136/bmjopen-2024-097563
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00