PulseExploreJournal ClubResearchersJournals
Instagram
HomeJournal ClubExplore
Synapse
⌘+K
Synapse
July 18, 2026BMC Health Services ResearchOpen Access

Earlier medically ready for discharge date entry associated with lower unnecessary bed days

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does earlier entry of the Medically-Ready-for-Discharge Date (MRDD) reduce unnecessary bed days in hospitalized patients?

Population

112,930 patient visits from 4 hospitals within the period 01-January-2021 to 31-July-2022, with a subgroup…

Comparison

Earlier entry of the Medically-Ready-for-Discharg… vs Later entry of the MRDD forecast.

Design

Cohort

Key result

Earlier entry of the Medically-Ready-for-Discharge Date forecast was associated with a statistically significant decrease in unnecessary bed days.

Authors

KDKeely Dwyer-MatzkyDPDessislava A. PachamanovaVTVera Tilson

Discussion

Loading...

Member takes

Overview

MRDD estimation in EHR may aid discharge planning; leaves open impact on UBD and outcomes.

Key Points

  • To evaluate the association between earlier medically-ready-for-discharge date entry and unnecessary bed days in hospitalized patients.
  • Implemented a program for healthcare providers to estimate and record the medically-ready-for-discharge date in the EHR.
  • Analyzed 112,930 patient discharges from 4 hospitals between January 2021 and July 2022.
  • Utilized multivariable regression models and machine learning methods to assess factors related to unnecessary bed days.
  • Earlier entry of the medically-ready-for-discharge date forecast correlated with a statistically significant decrease in unnecessary bed days.
  • Longer delays in entering the medically-ready-for-discharge date forecast resulted in higher unnecessary bed days.
  • Factors such as disposition, level of care, and day of the week were found to predict unnecessary bed days.

Study Design

Type

Observational (n=112,930)

Multicenter

Yes

Structured PICO

Does earlier entry of the Medically-Ready-for-Discharge Date (MRDD) reduce unnecessary bed days in hospitalized patients?

P
Population
112,930 patient visits from 4 hospitals evaluated to assess the association between the timing of Medically-Ready-for-Discharge Date entry and unnecessary bed days.
E
Exposure
Earlier entry of the Medically-Ready-for-Discharge Date (MRDD) forecast in the electronic health record.
C
Comparator
Later entry of the MRDD forecast.
O
Outcome
Unnecessary bed days (UBD), tracked as the difference between actual discharge date and MRDD.

Earlier entry of a medically-ready-for-discharge date in the EHR is associated with fewer unnecessary bed days, potentially improving hospital throughput.

Cite This Study

Dwyer-Matzky et al. (2026) conducted an observational in Hospitalized patients (n=112,930). Earlier entry of Medically-Ready-for-Discharge Date (MRDD) vs. Later entry of MRDD was evaluated on Unnecessary bed days (UBD). Earlier entry of the Medically-Ready-for-Discharge Date forecast was associated with a statistically significant decrease in unnecessary bed days.

synapsesocial.com/papers/6a5b176318557b26c20399bchttps://doi.org/10.1186/s12913-026-15010-2
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Enhancing patient flow through standardised discharge pathways for neurology and medicine services2025 · 2 citations
  2. 2Reducing discharge delays: using DMAIC approach in a tertiary care hospital2025
  3. 3Exploring the impact of case mix factors on length of stay to a Complex Discharge Unit across three phases: pre-COVID-19 (2019), during COVID-19 (2021) and late-stage COVID-19 (2023) pandemic2025
  4. 4Improving patient flow: ethnicity and socio-economic status associated with delayed discharge from hospital in patients with COVID-19 infection: an observational epidemiological study2025
  5. 5Time for a rethink? Discharge summary completion is often delayed and associated with increased readmission2025 · 4 citations