Interprofessional discharge planning to reduce hospital length of stay – a quality improvement study

Integrative Hospital Treatment in Older patients to benchmark and improve Outcome and Length of stay – the In-HospiTOOL study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN83274049

Enrollment

45000

Registered

2022-03-22

Start date

2017-02-01

Completion date

Unknown

Last updated

2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Improving discharge planning in medical inpatients Other

Interventions

The In-HospiTOOL will be implemented among intervention hospitals and is a bundled patient management tool with specific items including a first medical assessment in the emergency room, a daily (re-)

Eligibility

Sex/Gender

All

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Medical patients aged =18 years with at least two diagnoses in need of acute treatment

Exclusion criteria

Exclusion criteria: 1. Patients treated in an intensive care unit (ICU) only 2. Patients with outlier hospitalization stays longer than 100 days

Design outcomes

Primary

Measure	Time frame
Length of stay (LOS), defined as days spent in the hospital during the index hospitalization. The index hospitalization includes all readmissions into the index hospital within 18 days after discharge from the index hospital if the main reason for rehospitalization is related to the main diagnosis from the index hospitalization. According to the SwissDRG definition, every readmission into the same hospital after 18 days from discharge or any readmission into another hospital will be defined as a new index hospitalization. Thus, a single patient may have more than one index admission during the study period. LOS that crosses from one study phase to another or that goes past the study end date will be attributed to the study phase applicable during hospital admission.	—

Measure

Time frame

Length of stay (LOS), defined as days spent in the hospital during the index hospitalization. The index hospitalization includes all readmissions into the index hospital within 18 days after discharge from the index hospital if the main reason for rehospitalization is related to the main diagnosis from the index hospitalization. According to the SwissDRG definition, every readmission into the same hospital after 18 days from discharge or any readmission into another hospital will be defined as a new index hospitalization. Thus, a single patient may have more than one index admission during the study period. LOS that crosses from one study phase to another or that goes past the study end date will be attributed to the study phase applicable during hospital admission.

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Secondary

Measure	Time frame
1. All-cause hospital readmission within 30 days after discharge measured using patient records. Regarding hospital readmission, both planned and emergency readmissions will be included in the analysis. 2. All-cause in-hospital mortality, and facility discharge (i.e. long-term care facility, convalescent home, or rehabilitation clinic) measured using patient records. Out-of-hospital mortality data will be not available in the claims dataset.	—

Measure

Time frame

1. All-cause hospital readmission within 30 days after discharge measured using patient records. Regarding hospital readmission, both planned and emergency readmissions will be included in the analysis. 2. All-cause in-hospital mortality, and facility discharge (i.e. long-term care facility, convalescent home, or rehabilitation clinic) measured using patient records. Out-of-hospital mortality data will be not available in the claims dataset.

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Countries

Switzerland

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 11, 2026