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Health and Medical Administration Commons™
Open Access. Powered by Scholars. Published by Universities.®
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- AMA discharge (1)
- COVID-19 (1)
- Documentation (1)
- EMS, paramedics (1)
- Emergency medical services (1)
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- Emergency medical technicians (1)
- Emergency medicine (1)
- Hospitalization (1)
- Patient care (1)
- Patient discharge (1)
- Quality improvement (1)
- RSI (1)
- Rapid Sequence Induction and Intubation (1)
- SARS-CoV-2 (1)
- Social determinants of health (1)
- Treatment refusal (1)
- Treatment refusal/trends (1)
- Video recordings (1)
Articles 1 - 2 of 2
Full-Text Articles in Health and Medical Administration
Who Left The Hospital Against Medical Advice During The Early Covid-19 Pandemic?, Bryan Werner, Se Won Lee
Who Left The Hospital Against Medical Advice During The Early Covid-19 Pandemic?, Bryan Werner, Se Won Lee
HCA Healthcare Journal of Medicine
Background
Patients leaving against medical advice (AMA) presents a challenge to hospitals as they try to manage costs and improve patient outcomes in an ever-increasing competitive market. Investigating AMA discharges that occurred during the early COVID-19 pandemic presents a unique opportunity to better understand this phenomenon and be better prepared for the future.
Methods
This retrospective analysis of 34 379 patients from a nationwide private healthcare system across 20 states analyzed patients during the early stages of the pandemic who chose to leave against medical advice (AMA) after being admitted with COVID-19 infection and identified several patient characteristics associated with …
Video Documentation As A Measure Of Written Documentation Accuracy In Emergency Medical Service Field Intubations, Christopher S. Keller, Christopher Dilger, Shih-Chin Chou, Rasheed Lawal, Shane Jenks
Video Documentation As A Measure Of Written Documentation Accuracy In Emergency Medical Service Field Intubations, Christopher S. Keller, Christopher Dilger, Shih-Chin Chou, Rasheed Lawal, Shane Jenks
HCA Healthcare Journal of Medicine
Introduction
Quality improvement (QI) is a major focus of all departments and fields of health care, including emergency medical services. The chaotic and rapidly evolving atmosphere in which paramedics must practice can lead to inconsistency between what is documented and the actual events. This leads to difficulty when trying to evaluate the practitioners and when implementing a QI program. In this study, we evaluated the prevalence of discrepancy between the video and written record for Rapid Sequence Intubation (RSI) performed in the field as a demonstration of the utility of video documentation in QI.
Methods
We used a systematic retrospective …