SHM Converge Scientific Abstract ePoster Gallery-A Scoping Review of "Discharge Before Noon" Interventions

Pdf Summary

This scoping review examined “discharge before noon” (DBN) interventions to identify which components are associated with success. The authors systematically searched the literature and found 15 studies that both described and evaluated a DBN intervention. Of these, 13 studies reported improved DBN.<br /><br />Using cross-case analysis, the review found that effective interventions consistently shared certain features. The most important were: multidisciplinary team involvement, a structured communication platform for discharge planning, and pre-identification of patients and potential barriers to discharge. Compared with ineffective interventions, effective ones much more often included these elements.<br /><br />The study also found that simply changing workflow timing, such as making physician rounds earlier, was not enough on its own to improve DBN. While this strategy appeared in many effective interventions, it was also present in all ineffective ones, suggesting it may support success but cannot drive it alone.<br /><br />Overall, the review highlights that DBN improvement likely depends on combinations of intervention components rather than any single strategy. The authors conclude that DBN programs should be tailored to local context and designed as coordinated, team-based processes with clear communication and proactive discharge planning. These findings may help hospitals implement more effective DBN interventions and better use resources.

Asset Subtitle

Jigisha Patel

Meta Tag

Author List David Paje, Jigisha Patel, Megan Mack, Paul Caseley, Ruby Marr, Sachita Shrestha, Stephanie Taylor, Vijay Singh

Category Research

Concept Discharge Before Noon

Concept Hospital Discharge

Concept Intervention Components

Concept Multidisciplinary Participation

Concept Structured Communication

Distinguished Non-Finalist

Presenter Organization University of Michigan Department of Internal Medicine

Presenting Author Jigisha Patel

Track Transitions of Care

Keywords

discharge before noon

DBN interventions

systematic review

multidisciplinary team

discharge planning

communication platform

patient identification

barrier assessment

workflow timing

hospital discharge

Discharge Before Noon

Hospital Discharge

Intervention Components

Multidisciplinary Participation

Structured Communication