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To test whether coordination of discharge from hospital reduces hospitalizations in patients with chronic obstructive pulmonary disease (COPD).
The coordination of discharge for inpatients prior to noon has been proposed to improve the availability of inpatient beds, especially in the afternoon and evening periods.
The framework was consisted 36 statements under 5 major themes: initial screening, discharge planning process, coordination of discharge, implementation of discharge, and post discharge follow-up.
The questionnaire consisted of 36 statements under 5 major themes of discharge planning framework: (i) initial screening, (ii) discharge planning process, (iii) coordination of discharge, (iv) implementation of discharge, and (v) post discharge follow-up (Additional file 1).
The goals of this interdisciplinary team should be to provide comprehensive evaluation, thorough risk assessment, definitive treatment, and coordination of discharge planning in patients with diabetes who are hospitalized for foot problems.
Improved organisation, early communication to the patient about discharge and coordination of discharge planning were suggested as promising activities to decrease the late post-implementation length of hospital stay.
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Findings in the current and a previous qualitative study in the ICHM and CM [ 34] are, however, more in line with recommendations to improve coordination of discharges for patients with complex care needs [ 6, 13].
Interventions to improve discharge delays were aimed at information management and coordination of the discharge process.
Therefore, the nurse needs to assist in the coordination of a discharge transition plan that includes appropriate follow-up with an outpatient education program visit, preferably at an outpatient site staffed by members familiar with the inpatient diabetic foot team.
The latter are nurse-led services with broad roles and varied responsibilities, which, in addition to the review of deteriorating patients, include coordination of ICU discharge, routine review of ward patients, improving communication between units, and ward education and support [ 12].
Before discharge, hospital staff initiate the coordination of post-discharge services, including community care and primary care follow-up.
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