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Appropriateness of the decision to transfer nursing facility residents to the hospital
Author(s)Debra Saliba, Raynard Kington, Joan Buchanan
Journal titleJournal of the American Geriatrics Society, vol 48, no 2, February 2000
Pagespp 154-163
KeywordsPatients [nursing homes] ; Accident & emergency depts ; Admission [hospitals] ; United States of America.
AnnotationThe aim of this study was to develop and test a standardised instrument to assess whether skilled nursing facilities (SNFs) transfer older residents to emergency departments (EDs) inappropriately, and whether older residents are admitted to hospitals inappropriately. A structured implicit review of medical records identified 100 unplanned hospital transfers. Results showed that in 36% of ED transfers and 40% of hospital admissions, the transfer or admission were inappropriate, meaning that the residents could have been cared for safely at a lower level of care. Some inappropriate transfers appeared to be associated with poor quality of care in the SNFs. (AKM).
Accession NumberCPA-000502403 A
ClassmarkLHB:LF: LD6: LD:QKH: 7T

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