QRB Qual Rev Bull. 1991 Dec;17(12):386-91.

Appropriateness of short-stay admissions for procedures in six Veterans Affairs hospitals.

Source

Brockton/West Roxbury Veterans Affairs Medical Center, MA.

Abstract

Admissions records were reviewed for six acute care Veterans Affairs Medical Centers (VAMC's) in New England to determine appropriateness of short-stay admissions (two days or less) in fiscal years 1986 and 1987 for certain medical and surgical procedures. Results indicated that such admissions accounted for 18,588 (22%) of a total of 84,266 admissions for the six hospitals; of these admissions, 4,362 were for procedures commonly performed on an outpatient basis. Criteria developed by a peer review board of physicians was applied to a sample of 728 (16.7%) of the 4,362 short-stay admissions for these procedures; 190 (26.1%) admissions from this sample were found to be inappropriate. Inappropriateness rates (9.1% to 46.1%), as well as the number and type of procedures, varied among the six VAMCs. Some VAMCs may be able to improve efficiency by performing more procedures on an outpatient basis.

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Appropriateness of short-stay admissions for procedures in six Veterans Affairs hospitals.

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Cited by 2 PubMed Central articles

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