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As part of a quality improvement initiative, the authors developed a method to measure DDBD and define discrete barriers to discharge identified by inpatient clinicians. Patients with delayed discharge had a higher rate of in-hospital complications compared to those who were discharged routinely. To identify modifiable barriers among patients with delayed discharges, 2 patient subgroups were defined: prolonged hospitalization (&gt;19 DDBDs, top quintile accumulated) and extended hospitalization (\u226419 DDBDs). Patients with prolonged hospitalization were more likely than those with extended hospitalization to have financial ( P &lt; .001) or behavioral ( P &lt; .001) barriers, homelessness ( P &lt; .05), and impairment of decision-making capacity ( P &lt; .01). Understanding the characteristics and discharge barriers of patients who are hospitalized despite medical readiness may increase appropriateness of inpatient resources.<\/jats:p>","DOI":"10.1177\/1062860619846559","type":"journal-article","created":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T09:14:20Z","timestamp":1557134060000},"page":"23-28","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["Hospitalized After Medical Readiness for Discharge: A Multidisciplinary Quality Improvement Initiative to Identify Discharge Barriers in General Medicine Patients"],"prefix":"10.1097","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6892-5112","authenticated-orcid":false,"given":"Nicholas","family":"Meo","sequence":"first","affiliation":[{"name":"VA Puget Sound Healthcare System, Seattle, WA"},{"name":"University of Washington School of Medicine, Seattle, 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