Priority 9 from the Paediatric Hospital Care PSP

UNCERTAINTY: What are effective alternatives to shorten length of stay for hospitalized children and youth on the general paediatric inpatient unit? (e.g. hospitalization at home, early discharge with close and regular follow-up) (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0114/09
Explanatory note Prolonged hospitalizations can be stressful for children and their families, as such it is important to identify ways to shorten length of stay 

Miah, R. (2013). Does transitional care improve neonatal and maternal health outcomes? A systematic review. British Journal of Midwifery, 21(9), 634-646.
Segers, E., Ockhuijsen, H., Baarendse, P., van Eerden, I., & van den Hoogen, A. (2019). The impact of family centred care interventions in a neonatal or paediatric intensive care unit on parents’ satisfaction and length of stay: a systematic review. Intensive and Critical Care Nursing, 50, 63-70.

Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples How can we shorten LOS in a safe way ? Could we try home hospitalization in paediatric as it is done in adult ? ~ which inpatients could be safely and effectively cared for as outpatients with very close (up to daily) follow up care? ~ Does length of stay affect functional and rehabilitation outcomes?  
Submitted by 2 x physician, 1 x speech language pathologist  
PSP information
PSP unique ID 0114
PSP name Paediatric Hospital Care (Canada)
Total number of uncertainties identified by this PSP. 75  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 18th and 19th August 2021