Alternatives | Advantages (Strengths) | Disadvantages (Weakness) | Best Case Scenario | Worst Case Scenario |
Discharge by the multi-disciplinary team | Safe, and appropriate discharge | Time-consumed, require effective communication | “When there is effective coordination between members of multidisciplinary team” | “In the absent of coordination of multidisciplinary team members” |
Perform comprehensive patient assessment within twenty-four hours of admission | Appropriate referrals to other disciplines. Identify on patients with special needs Overcome any non medical factor could delay discharge | Comprehensive assessment requires highly skill and cooperation of multidiscipline | “When the assessment performed by skillful persons” | “In the absent of skill to perform the assessment” |
Determine estimated discharge date (EDD) | Enhance achievement of care plane objectives with specific time frame Give indicator about available bed over the time | To determine EDD within 24 hour based on initial assessment is difficult | “When the determination is based on proper comprehensive assessment” | “When the determination is based on improper, non comprehensive assessment” |
Involved patients and their families in the discharge planning | Enable them to understand and contribute to their discharge plan and make decisions for their future care Improve their satisfaction | It require cooperative patients and families | “When patients and their families are cooperative” | “In the absent of cooperation” |
Determine the responsibility of each health care team member in discharge planning | Ensure that the high standards of discharge planning are maintained and applied It makes it easy to determine the cause of defect in discharge process | It requires high level of coordination | “In the exist of effective process to control adherence to the responsibilities” | “In the absent of effective process to control responsibilities adherence” |