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July 2013

Hospitals Are Not Hotels: High-Quality Discharges Occur Around the Clock

Author Affiliations
  • 1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 2Division of General Pediatrics, The Children’s Hospital of Philadelphia, Pennsylvania.
  • 3a senior undergraduate student at Princeton University, Princeton, New Jersey.
JAMA Pediatr. 2013;167(7):596-597. doi:10.1001/jamapediatrics.2013.2252

High-quality health care is judged by its safety, effectiveness, efficiency, timeliness, patient centeredness, and equity.1 In practice, recent hospital quality efforts have focused on safety, high reliability, clinical pathways, patient flow, and reduction of readmissions,2 which link to the 6 domains of quality and drive high-value care. Because it receives much attention, this discussion focuses on measuring the quality of patient flow, with particular focus on the discharge process.

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