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Publication - Guidance

The Daily Dynamic Discharge Approach Guidance Document

Published: 20 Jun 2016
ISBN:
9781786522986

The Daily Dynamic Discharge Approach - Improving the timeliness and quality of patient care by planning and synchronising the day’s activities. This document aims to help readers and potential implementers understand some of the ‘man-made’ causes of delay

30 page PDF

1.2MB

30 page PDF

1.2MB

Contents
The Daily Dynamic Discharge Approach Guidance Document
Page 13

30 page PDF

1.2MB

Implementation

The measurement framework

In all tests of change, measuring improvements is not just important but necessary. This may be done as part of a 'test of change' or PDSA cycle in the first instance. Defining an improvement trajectory based on this data is key to sustaining the initial improvements and further improving. Delivering incremental improvement across several wards should equal improved flow across the site.

MEASURE AT WARD LEVEL MEASURE AT SITE LEVEL
Reduction in average length of stay Reduction in length of stay overall
Increase in number of discharges Improvement in performance against emergency access target
Reduction in delay (number of patients and number of days) Reduction in occupied bed days (reduction in % occupancy), improved access - both emergency and elective
Increase in number of discharges pre-noon and less discharges late in the evening Improved flow - peak of demand better aligned with peak of capacity, less ED crowding at peak times
Improvement in patient experience (less delays in access AND in discharge) Improved staff morale (less tension about beds, fewer 'in extremis' days)
Reduction in Datix incident/risk reporting - better planning, fewer clinical incidents and better relationships with facilities/pharmacy/transport as last minute requests decrease Easier identification of ACTUAL gaps in rotas (less trying to build a rota around bad practice related to late in the day discharge)

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