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June 12, 2026Journal of Patient SafetyOpen Access

Three underlying working mechanisms (to anticipate, to connect, and to simplify) were found to contribute to successful hospital discharges in daily practice.

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Why the study?

What are the underlying working mechanisms and influencing context of successful hospital discharge?

Population

Patients and healthcare professionals involved in the discharge process on a ward where discharge was…

Design

Other

Authors

MSMilou SteenbergenSVSigrid CJM VervoortEGEsther de Groot

Discussion

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Overview

Initial discharge program theory is hypothesis-generating; prospective validation required before any practice implications.

Key Points

  • This research seeks to uncover the mechanisms and contexts that contribute to successful hospital discharges.
  • Conducted a realist evaluation involving observations and interviews
  • Engaged both patients and health care professionals
  • Used framework analysis to develop program theory
  • Identified three mechanisms: anticipate, connect, and simplify for successful discharges
  • Mechanisms are influenced by the context of daily practice
  • Emphasized the need for flexible policies for health care professionals

Structured PICO

What are the underlying working mechanisms and influencing context of successful hospital discharge?

P
Population
Patients and healthcare professionals involved in the discharge process on a ward where discharge was perceived to be successful
I
Intervention
Successful hospital discharge process (qualitative evaluation)
O
Outcome
Underlying working mechanisms and influencing context of successful discharge

Successful hospital discharge is achieved through anticipating, connecting, and simplifying, suggesting that discharge policies should be flexible and adaptable to daily context variations.

Cite This Study

Steenbergen et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe995https://doi.org/10.1097/pts.0000000000001539
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Optimizing Discharge Management: Empirical Insights and Technological Requirements (Preprint)2025
  2. 2Modeling the networking between hospitals and follow-up care providers during discharge management – Insights from eight structured interviews2026
  3. 3Reengineering Patient Discharge with Lean Methodology and RED Framework: A Model for Safer, Faster, Patient-Centered Transitions2025
  4. 4One Chance to Get it Right: Exploring Perspectives and Experiences in Care Home Discharge Decision‐Making in the Acute Hospital2025
  5. 5Discharge Planning and Its Impact on Patient Outcomes: A Systematic Review2025 · 1 citations