scholarly journals Effects of Medicare Medical Reviews on Ambiguous Short‐Stay Hospital Admissions

2018 ◽  
Vol 53 (6) ◽  
pp. 4747-4766 ◽  
Author(s):  
Benjamin C. Silver ◽  
Momotazur Rahman ◽  
Brad Wright ◽  
Richard Besdine ◽  
Pedro Gozalo ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Short Stay ◽  
Stay Hospital

scholarly journals The association between opening a short stay paediatric assessment unit and trends in short stay hospital admissions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Steve Turner ◽  
Edwin-Amalraj Raja
Keyword(s):  
Hospital Admissions ◽  
Geographic Region ◽  
Health Board ◽  
Short Stay ◽  
Emergency Admissions ◽  
Inpatient Ward ◽  
Assessment Unit ◽  
Stay Hospital ◽  
Clinical Referral ◽  
Health Boards

Abstract Background Many inpatient facilities in Scotland have opened short stay paediatric assessment units (SSPAU) which are clinical areas separate from the usual inpatient ward area and these are where most short stay (also called zero day) admissions are accommodated. Here we describe the effect of opening short stay paediatric assessment units (SSPAU) on the proportion of zero day admissions relative to all emergency admissions. Methods Details of all emergency medical paediatric admissions to Scottish hospitals between 2000 and 2013 were obtained, including the number of zero day admissions per month and health board (i.e. geographic region). The month and year that an SSPAU opened in each health board was provided by local clinicians. Results SSPAUs opened in 7 health boards, between 2004 and 2012. Health boards with an SSPAU had a slower rise in zero day admissions compared to those without SSPAU (0.6% per month [95% CI 0.04, 0.09]. Across all 7 health boards, opening an SSPAU was associated with a 13% [95% CI 10, 15] increase in the proportion of zero day admissions. When considered individually, zero day admissions rose in four health boards after their SSPAU opened, were unchanged in one and fell in two health boards. Independent of SSPAUs opening, there was an increase in the proportion of all admissions which were zero day admissions (0.1% per month), and this accelerated after SSPAUs opened. Conclusion Opening an SSPAU has heterogeneous outcomes on the proportion of zero day admissions in different settings. Zero day admissions could be reduced in some health boards by understanding differences in clinical referral pathways between health boards with contrasting trends in zero day admissions after their SSPAU opens.

scholarly journals P81 The efficacy of a nurse led, primary care, acute asthma service in reducing short stay hospital admissions

Thorax ◽  
2011 ◽  
Vol 66 (Suppl 4) ◽  
pp. A101-A101
Author(s):  
G. J. Connett ◽  
P. Lovegrove ◽  
S. Lovick ◽  
J. P. Legg
Keyword(s):  
Primary Care ◽  
Hospital Admissions ◽  
Acute Asthma ◽  
Short Stay ◽  
Stay Hospital

scholarly journals The association between opening a short stay paediatric assessment unit and trends in short stay hospital admissions

2020 ◽  
Author(s):  
Steve Turner ◽  
Edwin Raja
Keyword(s):  
Hospital Admissions ◽  
Geographic Region ◽  
Health Board ◽  
Short Stay ◽  
Emergency Admissions ◽  
Paediatric Hospital ◽  
Inpatient Ward ◽  
Assessment Unit ◽  
Stay Hospital ◽  
Health Boards

Abstract Background. Rising acute paediatric hospital admissions in Scotland are explained by rising numbers of admissions lasting less than 24 hours (zero day admissions). Many inpatient facilities in Scotland have opened short stay paediatric assessment units (SSPAU) which are clinical areas separate from the usual inpatient ward area and these are where most zero day admissions are accommodated. Here we describe the effect of opening short stay paediatric assessment units (SSPAU) on the proportion of zero day admissions relative to all emergency admissions.Methods. Details of all emergency medical paediatric admissions to Scottish hospitals between 2000 and 2013 were obtained, including the number of zero day admissions per month and health board (i.e. geographic region). The month and year that an SSPAU opened in each health board was provided by local clinicians.Results. SSPAUs opened in 7 health boards, between 2004 and 2012. The rise in zero day admissions was greater in health boards with no SSPAU compared to those with an SSPAU. Across all 7 health boards, opening an SSPAU was associated with a 13% [95% CI 10, 15] increase in the proportion of zero day admissions. When considered individually, zero day admissions rose in four health boards after their SSPAU opened, were unchanged in one and fell in two health boards. Independent of SSPAUs opening, there was an increase in the proportion of all admissions which were zero day admissions (0.1% per month), and this accelerated after SSPAUs opened.Conclusion. Opening an SSPAU may increase in the proportion of zero day admissions, but in some settings may reduce this proportion. Zero day admissions could be reduced in some health boards by understanding differences in clinical referral pathways between health boards with contrasting trends in zero day admissions after their SSPAU opens.

scholarly journals Home birth or short-stay hospital birth in a low risk population in the Netherlands

1998 ◽  
Vol 46 (11) ◽  
pp. 1505-1511 ◽  
Author(s):  
T.A. Wiegers ◽  
J. van der Zee ◽  
J.J. Kerssens ◽  
M.J.N.C. Keirse
Keyword(s):  
The Netherlands ◽  
Home Birth ◽  
Low Risk ◽  
Short Stay ◽  
Risk Population ◽  
Hospital Birth ◽  
Stay Hospital

Short-stay hospital admission after free tissue transfer for head and neck reconstruction

2016 ◽  
Vol 126 (12) ◽  
pp. 2679-2683 ◽  
Author(s):  
Conor M. Devine ◽  
Timothy M. Haffey ◽  
Samuel Trosman ◽  
Michael A. Fritz
Keyword(s):  
Hospital Admission ◽  
Head And Neck ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Short Stay ◽  
Neck Reconstruction ◽  
Tissue Transfer ◽  
Stay Hospital

Short-stay admissions at an inner city hospital: a cross-sectional analysis

2018 ◽  
Vol 35 (4) ◽  
pp. 238-246
Author(s):  
Ian Pope ◽  
Sharif Ismail ◽  
Benjamin Bloom ◽  
Gwyneth Jansen ◽  
Helen Burn ◽  
...  
Keyword(s):  
Inner City ◽  
Hospital Admissions ◽  
Binary Logistic Regression ◽  
Clinical Decision ◽  
City Hospital ◽  
Short Stay ◽  
Cross Sectional ◽  
Discharge Data ◽  
Inpatient Ward ◽  
Sectional Analysis

ObjectiveTo investigate factors predictive of short hospital admissions and appropriate placement to inpatient versus clinical decision units (CDUs).MethodThis is a retrospective analysis of attendance and discharge data from an inner-city ED in England for December 2013. The primary outcome was admission for less than 48 hours either to an inpatient unit or CDU. Variables included: age, gender, ethnicity, deprivation score, arrival date and time, arrival method, admission outcome and discharge diagnosis. Analysis was performed by cross-tabulation followed by binary logistic regression in three models using the outcome measures above and seeking to identify factors associated with short-stay admission.ResultsThere were 2119 (24%) admissions during the study period and 458 were admitted for less than 24 hours. Those who were admitted in the middle of the week or with ambulatory care sensitive conditions (ACSCs) were significantly more likely to experience short-stays. Older patients and those who arrived by ambulance were significantly more likely to have a longer hospital stay. There was no association of length of inpatient stay with being admitted in the last 10 min of a 4 hours ED stay.ConclusionOnly a few factors were independently predictive of short stays. Patients with ACSCs were more likely to have short stays, regardless of whether they were admitted to CDU or an inpatient ward. This may be a group of patients that could be targeted for dedicated outpatient management pathways or CDU if they need admission.

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