Thread by @marishaburden

1/ BREAKING: Prioritizing discharging patients first rounding style did not result in earlier discharges! Check out our @JHospMed article! …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh… A 🧵

2/ First, a shout out to this incredible team! @kenistonangela @florakisuule @lladymcbeth See pic below for full team
Thx to @AHRQnews for supporting the study! #teamwork @cudivhospmed @hopkinsbayview @DH_Hospitalist

3/We tested the effects of physicians prioritizing discharging patients first compared to usual rounding style
☑️3 hospitals
☑️Daily surveys of physicians asking about rounding styles, team composition, and #workload
☑️Intention-to-treat analysis
☑️Outcome: DC order time, LOS

4/ What did we find?

☑️In primary analyses, there was no significant difference in discharge order time, discharge time, or length of stay (LOS).

☑️In secondary analyses that included per protocol and per reported, earlier dc order time but LOS not significantly different.

5/ Qualitative key point: Without also prioritizing other factors, focusing on discharging patients first can lead to inefficiencies.

6/ Take aways
☑️Throughput (i.e., length of stay) was not improved in any analysis.
☑️Findings suggest it may be more effective to support clinicians to use clinical judgment to set priorities. This may include prioritizing dc's first or seeing sick patients first, etc.

7/ #ChatGPT study summary

8/ And that’s a wrap! @kenistonangela @lladymcbeth – we did it!!!🎉