CNA428: The Australian Commission on Safety and Quality in Health Care - Medical Science Assignment Help

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1. Introduction

According to the Australian Commission on Safety and Quality in Health Care (ACSQHC), health care providers in Australia are expected to deliver comprehensive care along each patient journey (Australian Commission on Safety and Quality in Health Care (ACSQHC) 2018). A significant part of a patient’s journey is when a patient gets discharged from an inpatient hospital setting. Increased hospital length of stay as a result of delays in the discharge process has been shown to negatively impact patient mortality and morbidity (Hendy et al. 2012; Peltonen et al. 2015; Rezk & Miller 2016). Consequently, this leads to inefficient allocation and utilisation of resources (Hendy et al. 2012). Comprehensive, personcentred care is therefore compromised as there is a misalignment of care delivery to the patient’s goals and health care needs. The aim of this literature review is to evaluate evidence available on the prevalence of discharge delays across acute health care settings, barriers to safe and timely discharge and identify potential initiatives to counteract these barriers. This aligns with the question identified in this project which is, how can ward 5D coordinate safe and timely discharge processes to reduce the length of stay of inpatients occupying the unit. 2. Method Key Terminology For the purposes of this literature review, the following definitions are used: Cummings et al.’s definition of the term ‘discharge’ as ‘the processes, tools and techniques by which an episode of treatment and or care to a patient is formally concluded by a health professional, health provider organisation or individual’ (2010, p. 29).

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