Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital Export

@article{citeulike:5090990, abstract = {The objective of this study was to analyze the variables related to inappropriate admissions and hospital stays and their financial repercussions. This was a descriptive retrospective study in which the Appropriateness Evaluation Protocol (AEP) was applied to a representative sample of 725 hospital admissions and 1350 hospital stays. The cost of inappropriate stays was calculated by cost accounting. The study found that 7.4\% of admissions and 24.6\% of stays were inappropriate. Inappropriate admissions were significantly related to medical specialties and younger patient age. Inappropriate stays were related to these factors, plus patients being outside their corresponding areas, nonurgent admissions, and low occupancy rate. The cost of the inappropriate admissions and stays was 147 044 euros. Extrapolated to the hospital as a whole this would represent 2125638 euros per year. Steps must be taken to reduce inappropriate admissions and stays to lower health care costs and to reserve hospital resources for patients who genuinely need them. (Am J Med Qual 2009;24:321-332) 10.1177/1062860609337252}, author = {Soria-Aledo, Victor and Carrillo-Alcaraz, Andres and Campillo-Soto, Alvaro and Flores-Pastor, Benito and Leal-Llopis, Jesus and Fernandez-Martin, Maria P. and Carrasco-Prats, Milagros and Aguayo-Albasini, Jose L.}, citeulike-article-id = {5090990}, citeulike-linkout-0 = {http://dx.doi.org/10.1177/1062860609337252}, citeulike-linkout-1 = {http://ajm.sagepub.com/cgi/content/abstract/24/4/321}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/19515942}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=19515942}, day = {1}, doi = {10.1177/1062860609337252}, journal = {American Journal of Medical Quality}, keywords = {economics, quality}, month = {July}, number = {4}, pages = {321--332}, posted-at = {2009-07-08 05:55:54}, priority = {3}, title = {Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital}, url = {http://dx.doi.org/10.1177/1062860609337252}, volume = {24}, year = {2009} }

TY - JOUR ID - citeulike:5090990 L3 - citeulike-article-id:5090990 N2 - The objective of this study was to analyze the variables related to inappropriate admissions and hospital stays and their financial repercussions. This was a descriptive retrospective study in which the Appropriateness Evaluation Protocol (AEP) was applied to a representative sample of 725 hospital admissions and 1350 hospital stays. The cost of inappropriate stays was calculated by cost accounting. The study found that 7.4% of admissions and 24.6% of stays were inappropriate. Inappropriate admissions were significantly related to medical specialties and younger patient age. Inappropriate stays were related to these factors, plus patients being outside their corresponding areas, nonurgent admissions, and low occupancy rate. The cost of the inappropriate admissions and stays was 147 044 euros. Extrapolated to the hospital as a whole this would represent 2125638 euros per year. Steps must be taken to reduce inappropriate admissions and stays to lower health care costs and to reserve hospital resources for patients who genuinely need them. (Am J Med Qual 2009;24:321-332) 10.1177/1062860609337252 IS - 4 JF - American Journal of Medical Quality EP - 332 TI - Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital VL - 24 SP - 321 KW - economics KW - quality AU - Soria-Aledo, Victor AU - Carrillo-Alcaraz, Andres AU - Campillo-Soto, Alvaro AU - Flores-Pastor, Benito AU - Leal-Llopis, Jesus AU - Fernandez-Martin, Maria AU - Carrasco-Prats, Milagros AU - Aguayo-Albasini, Jose PY - 2009/07/01/ UR - http://dx.doi.org/10.1177/1062860609337252 ER -