Against Medical Advice Discharges From The Hospital
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Against Medical Advice Discharges From The Hospital
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Author : David Alfandre
language : en
Publisher: Springer
Release Date : 2018-05-17
Against Medical Advice Discharges From The Hospital written by David Alfandre and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-17 with Medical categories.
This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
Reasons For Discharge Against Medical Advice
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Author : Kaveh Noohi
language : en
Publisher:
Release Date : 2013
Reasons For Discharge Against Medical Advice written by Kaveh Noohi and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Background: Incomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. Discharge Against Medical Advice (DAMA) in emergency department (ED) is critical for hospitals. This paper aims to explore the underlying reasons behind DAMA in ED of four teaching hospitals in Kerman, Iran. Methods: This was a cross-sectional study in which the samples were drawn from the patients who chose to leave against medical advice from the ED of teaching hospitals in Kerman from February to March 2011. The sampling was based on census. Data were gathered by a researcher-constructed questionnaire. The reasons for DAMA were divided into three parts: reasons related to patient, medical staff, and hospital environment. The questionnaire was filled out by a face-to-face interview with patient or a reliable companion. Results: There were 121 cases (5.6%) of DAMA out of the total admissions. The main reason of AMA discharges was related to patient factors in 43.9% of cases, while two other factors (i.e., hospital environment and medical staff) constituded 41.2% and 35.2% of cases, respectively. The majority of patients 65.9% (80 cases) were either uninformed or less informed of the entailing side effects and outcomes of their decision to discharge against medical advice. Conclusion: In comparison to studies conducted in other countries, the rate of DAMA is markedly higher in Iran. The results revealed that patients awareness of the consequences of their decisions is evidently inadequate. The study suggests a number of recommendations. These include, increasing patient awareness of the potential side effects of DAMA and creating the necessary culture for this, improving hospital facilities, and a more careful supervision of medical staff performance.
Social Factors In Discharge Against Medical Advice
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Author : Cornelia Julians Sell
language : en
Publisher:
Release Date : 1948
Social Factors In Discharge Against Medical Advice written by Cornelia Julians Sell and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1948 with categories.
Leaving Against Medical Advice
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Author :
language : en
Publisher:
Release Date : 2013
Leaving Against Medical Advice written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Electronic books categories.
Each year, thousands of patients leave Canadian acute care hospitals earlier than their care team recommends. Research shows that such patients are at an increased risk of adverse health outcomes with respect to both morbidity and mortality. They are also more likely to return to hospital, often for the same or a related condition. Using hospital data from the Canadian Institute for Health Information (CIHI) to describe the magnitude of the issue in Canadian acute care and emergency department (ED) settings, this study provides a profile of common characteristics associated with patients who leave against medical advice. It also quantifies the impact of leaving against medical advice on the health care system and on patient outcomes in terms of admission and readmission rates.
Predictors Of Discharge Against Medical Advice From Us General Hospitals 1988 2006
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Author : Rima Tawk
language : en
Publisher:
Release Date : 2010
Predictors Of Discharge Against Medical Advice From Us General Hospitals 1988 2006 written by Rima Tawk and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.
Discharge Against Medical Advice Among Children In Oman
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Author : Muna Al-Sadoon
language : en
Publisher:
Release Date : 2013
Discharge Against Medical Advice Among Children In Oman written by Muna Al-Sadoon and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Facilitating Patient Understanding Of Discharge Instructions
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2014-12-01
Facilitating Patient Understanding Of Discharge Instructions written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-12-01 with Medical categories.
The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.
California Hospital Patients Who Left Against Medical Advice 1983
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Author : Arthur A. Ellis
language : en
Publisher:
Release Date : 1986
California Hospital Patients Who Left Against Medical Advice 1983 written by Arthur A. Ellis and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Hospital patients categories.
Timely Discharge From Hospital
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Author : Liz Lees
language : en
Publisher: M&K Update Ltd
Release Date : 2012
Timely Discharge From Hospital written by Liz Lees and has been published by M&K Update Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Medical categories.
Following on from the very popular first book OCyNurse Facilitated Hospital DischargeOCOOCyIn these challenging economic times, with change and cost saving being predominant features in the NHS, I offer you, the reader, a thought: OC The faster the speed at which you travel, the further ahead you need to lookOCO, to adapt current practice, and align it to future needs, to deliver value for money.OCOLiz LeesTimely Discharge From Hospital is aimed at practitioners working in acute, community, intermediate and ambulatory care settings; all areas of practice are featured. Each section is arranged in themes but written to stand alone, allowing the reader to dip in and out. The book is further enhanced by a comprehensive selection of case studies.Part 1: Fundamental perspectives of practice OCo there are 3 leading chapters which set the scene for the discharge of patients from hospital.Part 2: The UK perspective OCo there are 4 chapters which demonstrate policy, practice and progress regarding discharge planning in England, Ireland, Scotland and Wales. Part 3: Education and training OCo there are 3 chapters which interface theory with practice providing a sense of direction in education to lead and support practitioners wishing to develop mechanisms for training.Part 4: Multi professional considerations of patient discharge in practice OCo there are 7 chapters which explore the contribution of different professionals to timely discharge practice. The Nursing coordination & complex discharge issues, Pharmacy, PALs, Medicine, Occupational Therapy and Bed management are all featured.Part 5: Case examples in practice OCo There are 14 pragmatic cases which illuminate practice points from a clinical perspective."
A Family Oriented Study Of Discharges Against Medical Advice From A Psychiatric Ward
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Author : Janet Faith Parks
language : en
Publisher:
Release Date : 1962
A Family Oriented Study Of Discharges Against Medical Advice From A Psychiatric Ward written by Janet Faith Parks and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1962 with Families of the mentally ill categories.