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Based on guideline recommendations, discharge was considered if oral intake was feasible, vital signs were stable >24 h, no evidence of acute serious co-morbidity necessitated hospitalization, and the patient achieved pre-admission mobility state[ 9- 19, 19, 20].
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▪ Geriatrician recommendations for discharge destination: direct discharge to the community; transfer to inpatient rehabilitation or a geriatric unit; transfer to permanent residential care, including a distinction between the need for a high or low level of care (equivalent approximately to Skilled Nursing Facilities or Assisted Living in the North American context).
However, little is known about whether prescription recommendations after discharge are evidence-based and about what happens to HF medication immediately after discharge when the GP has to discuss the changes made in hospital with the patient.
There is also a lack of mutual trust: hospital specialists are uncertain whether GPs will follow their recommendations after discharge, whereas at the same time the GP is not confident that the referring consultant has provided a discharge letter containing complete and correct recommendations.
Many strategies to improve hospital care and recommendations at discharge are widely known, but rarely do they attempt to go beyond the time of the actual submission of the discharge report [ 17], even when the effectiveness of carrying out early monitoring of patients discharged after an acute coronary event is acknowledged [ 18].
The Air Force has dropped its recommendation to discharge a servicewoman who claimed that she was sexually harassed and assaulted by three of her superiors -- two days after the Air Force Times first reported on the alleged retaliation.
There were 42 (8.2%) disposition disagreements; the majority (n=25; 59.5%) were discharged home despite the clinical team's recommendation for discharge to an acute or subacute facility.
Patients who were discharged home despite the clinical team's recommendation for discharge to an acute or subacute facility and patients who were discharged to an acute or subacute facility despite the clinical team's recommendation for discharge to home had similar 30-day re-admission rates as patients who were discharged according to the clinical team's recommendation.
In our study, while nearly 60% of the disagreements resulted from patients being discharged home despite the clinical team's recommendation for discharge to a supervised environment for acute or subacute clinical rehabilitation, other types of discharge disposition disagreements were observed as well.
Recommendations include improving discharge times and patient privacy.
Following an acute asthma exacerbation, the GINA Global Initiativee for Asthma) discharge recommendations include several actions designed to reduce the risk of further exacerbations.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com