Interventions to Decrease Hospital Length of Stay

Project Summary Title and Description

Title
Interventions to Decrease Hospital Length of Stay
Description
Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high-risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge.
Attribution
N/A
Authors of Report
N/A
Methodology description
N/A
PROSPERO
N/A
DOI
N/A
Notes
This report can be found at: https://effectivehealthcare.ahrq.gov/products/hospital-length-of-stay/report Data was entered retrospectively into SRDR All evidence tables can be found in the appendices of this report. Use Link below to download the Appendices: Link: https://srdr.s3.amazonaws.com/uploads/10-11-2021/Interventions+to+Decrease+LOS+Appendix.docx
Funding Source
Agency for Healthcare Research and Quality

Key Questions

1. Discharge Planning KQ 1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
2. Discharge Planning KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
3. Discharge Planning KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
4. Discharge Planning KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
5. Geriatric assessment or consultation KQ 1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
6. Geriatric assessment or consultation KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
7. Geriatric assessment or consultation KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
8. Geriatric assessment or consultation KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
9. Medication management KQ 1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
10. Medication management KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
11. Medication management KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
12. Medication management KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
13. Clinical pathways KQ1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
14. Clinical pathways KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
15. Clinical pathways KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
16. Clinical pathways KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
17. Inter- or multi- disciplinary care KQ1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
18. Inter- or multi- disciplinary care KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
19. Inter- or multi-disciplinary care KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
20. Inter- or multi-disciplinary care KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
21. Case management KQ1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
22. Case management KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
23. Case management KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
24. Case management KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
25. Hospitalist services KQ1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
26. Hospitalist services KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
27. Hospitalist services KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
28. Hospitalist services KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?
29. Telehealth KQ1: What are the characteristics of interventions to decrease length of hospital stay and how do they vary?
30. Telehealth KQ 2: What are the contextual factors (e.g., resources, staffing, technology) that impact implementation of interventions to decrease hospital length of stay?
31. Telehealth KQ 3: What is the current evidence addressing interventions to decrease hospital length of stay?
32. Telehealth KQ 4: What future research is needed to close evidence gaps regarding interventions to decrease length of hospital stay?

Associated Extraction Forms

Type
Standard

Associated Studies (each link opens a new tab)

Title Authors Year
Discharge planning from hospital to home. 2010
Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease or rehabilitation needs: a systematic review and meta-analysis. 2015
Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. 2018
The clinical effectiveness and cost-effectiveness of clinical nurse specialist-led hospital to home transitional care: a systematic review. 2015
Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly inpatients: a systematic review. 2016
A systematic review and meta-analysis evaluating geriatric consultation on older trauma patients. 2020
Outcomes in Multidisciplinary Team-based Approach in Geriatric Hip Fracture Care: A Systematic Review. 2020
Comprehensive geriatric assessment for older adults admitted to hospital. 2017
Effects of hospital-wide interventions to improve care for frail older inpatients: a systematic review. 2011
The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis. 2010
Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. 2020
Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients. 2019
Computerized advice on drug dosage to improve prescribing practice. 2013
Hospital-based quality improvement interventions for patients with heart failure: a systematic review. 2019
Effects of care pathways on the in-hospital treatment of heart failure: a systematic review. 2012
Strategies for prevention of postoperative delirium: a systematic review and meta-analysis of randomized trials. 2013
Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic Review. 2015
Does case management for patients with heart failure based in the community reduce unplanned hospital admissions? A systematic review and meta-analysis. 2016
Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures. 2011
Effects of Telestroke on Thrombolysis Times and Outcomes: A Meta-analysis. -- Not Found --

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