ArticleJournal of general internal medicine2025
Identifying Core Functions and Forms of "Discharge by Noon" Interventions.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Adapting a complex health intervention guided by the core functions and forms model: a methodology and case example of participatory adaptation.Frontiers in health services · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany hospitals have implemented Discharge by Noon (DBN) programs to improve hospital throughput but have had mixed results.
objectiveUse a complex health intervention framework to define core functions and forms of DBN interventions.
designQualitative study combined with scoping review.
settingTwo hospitals in Michigan, USA.
participantsMultidisciplinary stakeholders (n = 22) involved in the development and implementation of a DBN program. MEASUREMENTS: We conducted (1) stakeholder surveys and (2) a scoping review of the DBN literature. We integrated quantitative and qualitative data to develop a DBN functions and forms matrix.
resultsQualitative thematic analysis of the stakeholder survey identified six core functions addressing five motivating needs for a DBN program, and the scoping review identified one additional core function addressing one additional motivating need. We identified 17 eligible studies for the scoping review, of which 15 (88%) found an improvement in DBN associated with the intervention and two (12%) did not. Compared with ineffective interventions, a greater proportion of effective ones enabled multi-disciplinary participation (76% vs 0%), provided a structured platform for communication (65% vs 0%), and enabled pre-identification of patients (59% vs 0%). Cross-case analysis revealed that programs that included either enablement of multi-disciplinary participation or structured platform for communication covered 100% of effective interventions and no ineffective ones.
conclusionSuccessful DBN programs include specific core functions. Our findings can guide system recommendations about optimal DBN intervention structures to maximize effectiveness and resource stewardship.
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