Ontario's William Osler Health System has redesigned its discharge process to eliminate ethical errors and align more fully with the Health Care Consent Act (HCCA) and the Public Hospitals Act (PHA). To address the number of alternate level of care (ALC) patients, the health system underwent quality improvement processes including the use of scripting, education, checklists, mentoring and role clarity. As a result, this study shows Osler's ALC days are the lowest in Ontario, and that eliminating ethical errors has decreased patient confusion and improved the discharge experience.
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