Evidence map›Paper›PMID 40786278›Full record

ReviewCureus2025

Reducing Weekend Hospital Discharge Delays Without Seven-Day Coverage by Leveraging Thursday and Friday Planning.

George Bechir

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

George BechirHospital Medicine, Franciscan Health, Munster, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Weekend discharge delays remain a significant contributor to prolonged hospital length of stay, often resulting from reduced availability of consultants, imaging, case management, and therapy services on Saturdays and Sundays. Expanding hospital operations to full seven-day coverage is often proposed. However, such solutions are frequently cost-prohibitive and have shown inconsistent benefits in general inpatient settings. This review proposes a more practical and scalable alternative that focuses on leveraging Thursday and Friday as high-impact planning days to mitigate weekend-related discharge bottlenecks. Through a narrative review of 15 studies published between 2010 and 2024, we identified key operational strategies, including early multidisciplinary rounds, Friday discharge huddles, and coordination guided by standardized discharge checklists, that enable teams to proactively clear discharge barriers before the weekend. These interventions improve weekend discharge volume, reduce unnecessary hospital days, and enhance patient flow without requiring full weekend staffing models. In addition, embedding case management within the emergency department can reduce avoidable weekend admissions by directing low-acuity patients toward outpatient services and follow-up. Together, these targeted weekday efforts form a cost-effective, immediately actionable framework that hospitals can adopt to reduce weekend delays, improve efficiency, and lower overall length of stay without compromising safety or quality of care.

Indexed as

case managementdischarge planningemergency department admissionshospital throughputlength of staymultidisciplinary roundspre-weekend dischargeseven-day coverageweekend bottlenecksweekend effect

Identifiers

PMID40786278
PMCPMC12331538

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.