Eliminating Discharge Delays

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EliminatingDischarge Delays


Dischargedelays can lead to additional costs at the hospitals because thepatients will continue to stay at the health care facility beds. Itleads to increased costs which are an added burden to both thepatients and the hospitals. To curb this challenge, thePlan-Do-Study-Act (PDSA) cycles was recommended in the practicumpaper. It is of great significance to describe the PDSA model andexplain why it was selected.

ThePlan-Do-Study-Act (PDSA) model is used to test a change where a planto test it is developed, tested, consequences observed and learned,and the possible modifications are recommended (Acton, 2013). Foursteps are involved in this strategy, and they include Plan, Do,Study, and Act. In planning, the discharge coordinators will come upwith the change and then predict the possible outcome through thiscycle. Numerous decisions must be made at this initial stage likedeciding on the particular data that must be collected to facilitatedecision-making. Those responsible for the collection are determinedand issues regarding the time and place of implementing thealteration are defined (Barach, Jacobs, Lipshultz and Laussen, 2015).In the Do stage, the modification is executed, proper measurementsare made, and the specified data is gathered. The staff in charge ofmeasuring has to understand the information to collect and themethodologies to use. In the course of assembling, the agreed refineis then added. However, if the changes are more than one, one of itis added at a time. In the study stage, a precise analysis is donebefore the refining and after to find out what can be learned fromits implementation. This gives an opportunity to determine thechances of success and failure. The coordinators will give ideas howeach and everyone experienced it. In the last step, a decision ismade whether to adopt the change or come up with something newinstead. For the choice to be productive, 90% of the coordinatorsmust support it (HQIP, 2015).

Thereare numerous reasons behind the selection of this process. It givesthe administrators an opportunity to test the modifications on asmall scale and find out whether it serves the intended purpose.However, if it fails to, then they will learn why so and the correctcourse of action. Similarly, the staffs are not limited to any onetechnique, and as a result, they can try some other ways thatincrease the efficiency of their operations in the long-run. This ispossible as their views are taken into consideration (The King FundOrganization, 2017).

Furthermore,as the coordinators have the responsibilities of creating the ideasmeant for improvement depending on the reality of daily activities,they will get committed. They dedicate their time and effort tofulfill this task to the best of their knowledge. Lastly, the methodhelps solve the problem of recruiting staff to take part in theexercise. PDSA cycle ensures that the participants are situated inpositions where their contribution is maximized. As the clinical andnon-clinical teams are involved, a range of perspectives are gatheredto make the final decision (Institute for Health Improvement, 2017).

Delayeddischarge continues to be an issue to the hospital management, andonly a clear method can help solve it. PDSA model will put everythinginto a test before deciding to use it in the clinical setting. Everymember is free to give ideas over what he has learned from the trialthat can add value to the final solution.


Acton,A. Q. (2013). Issues in Nursing Research, Training and Practice: 2013Edition. ScholarlyEditions Publishers.

Barach,P., Jacobs, J. P., Lipshultz, S. E., &amp Laussen, P. C. (2015).Pediatricand Congenital Cardiac Care: Volume 1 : Quality Improvement andPatient Safety.London: Spring Publishers.

HealthcareQuality Improvement Partnership (HQIP). (2015). AGuide to Quality Improvement Methods.Healthcare Quality Improvement Partnership Publishers.

Institutefor Health Improvement. (2017). Sciencefor Improvement:Testing Changes. Retrieved fromhttp://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspxon March 16, 2017.

TheKing Fund Organization. Modelfor Improvement.Retrieved fromhttps://www.kingsfund.org.uk/projects/pfcc/model-improvementon March 16, 2017.