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Titolo:
Underutilization of acute care settings in a tertiary care hospital
Autore:
Trerise, B; Dodek, P; Leung, A; Spinelli, JJ;
Indirizzi:
Providence Hlth Care, Vancouver, BC V6Z 1Y6, Canada Providence Hlth Care Vancouver BC Canada V6Z 1Y6 uver, BC V6Z 1Y6, Canada Ctr Hlth Evaluat & Outcome Sci, Vancouver, BC, Canada Ctr Hlth Evaluat & Outcome Sci Vancouver BC Canada Vancouver, BC, Canada Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada Univ British Columbia Vancouver BC Canada V5Z 1M9 ver, BC V5Z 1M9, Canada Univ British Columbia, Dept Hlth Care & Epidemiol, Vancouver, BC V5Z 1M9, Canada Univ British Columbia Vancouver BC Canada V5Z 1M9 ver, BC V5Z 1M9, Canada
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 1, volume: 13, anno: 2001,
pagine: 27 - 32
SICI:
1353-4505(200102)13:1<27:UOACSI>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; ADVERSE DRUG EVENTS; CLINICAL METHOD; UNDERUSE; APPROPRIATENESS; REVASCULARIZATION; MORTALITY; FRAMEWORK; SERVICES; OVERUSE;
Keywords:
appropriateness of setting; utilization management;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Trerise, B Providence Hlth Care, St Pauls Hosp Site,1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada Providence Hlth Care St Pauls Hosp Site,1081 Burrard St Vancouver BC Canada V6Z 1Y6
Citazione:
B. Trerise et al., "Underutilization of acute care settings in a tertiary care hospital", INT J QUAL, 13(1), 2001, pp. 27-32

Abstract

Objective. To estimate underutilization of acute care settings in a tertiary care hospital. Design. A retrospective and concurrent cohort study using chart reviews and the Intensity of service, Severity of illness, Discharge screen for AcuteCare (ISD-AC (R)) tool to measure appropriateness of acute care for patients who were receiving care in a less acute setting, as an indicator of underutilizationSetting. A 450-bed tertiary care teaching hospital. Study participants. Patients discharged from the emergency department, patients discharged from acute care inpatient units and patients in acute, non-critical care settings. Interventions. None. Main outcome measures. The percentage of patients discharged from the emergency department who did not meet the criteria for acute care discharge screens; the percentage of patients discharged item an acute care inpatient unit who did not meet the criteria for discharge screens; and the percentage of patients who were in acute, non-critical care beds and who met the criteria for critical care. Results. It was found that six out of 168 patients [3.57%; 95% confidence internal (CI), 1.32-7.61%] did not meet the discharge screens at the time of discharge from the emergency department. Four out of 156 patients (2.56%;95% CI, 0.70-6.43%) did not meet the discharge screens at the time of discharge from an acute care inpatient service and two out of 156 acute care patients (1.33%; 95% CI, 0.02-4.73%) who were in non-critical care beds met the criteria for critical care. Conclusion. These findings of underutilization may help to quantitate an unmet need in health care.

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Documento generato il 26/01/20 alle ore 10:50:28