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Against Medical Advice Discharge: A Narrative Review and Recommendations for a Systematic Approach

American Journal of Medicine, 2021
Approximately 1%-2% of hospitalizations in the United States result in an against medical advice discharge. Still, the practice of discharging patients against medical advice is highly subjective and variable.
Emily G Holmes, Sheryl B Fleisch, Donald L Rosenstein   +2 more
exaly   +2 more sources

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Discharge against medical advice at a general hospital in Catalonia

General Hospital Psychiatry, 2003
Some studies on discharge against medical advice (AMA) in general hospitals report a prevalence between 0.7-7% with 11-42% of this population identified as psychiatric patients. To study the sociodemographic and psychopathological features of patients who leave AMA, we performed a retrospective case-control comparison study of length of hospitalization
Roso Duno, Esther Pousa
exaly   +3 more sources

Factors associated with discharge against medical advice in alcohol withdrawal patients [PDF]

Alcohol and Alcoholism, 2023
This study aimed to examine characteristics associated with discharge against medical advice from the hospital in alcohol withdrawal patients, supporting the work of hospital staff and Alcohol Care Teams and identifying characteristics that may help ...
Rachel Coleman, Simon Coulton, Tom Phillips   +2 more
exaly   +2 more sources

Discharges Against Medical Advice

JAMA, 2014
In their Viewpoint about discharges against medical advice, Drs Alfandre and Schumann1 asked, “Why would you discharge a patient against medical advice?” Until this question is answered, they argued, “continued use of the practice does not seem justified.” We believe the authors conflated 3 different scenarios, a clarification of which may help to ...
John, Querques, Nicholas, Kontos, Oliver, Freudenreich   +2 more
openaire   +2 more sources

Psychiatric Discharges Against Medical Advice

Archives of General Psychiatry, 1963
Emotional illness does not end dramatically with discharge from a psychiatric hospital. Many discharged patients are subsequently rehospitalized for treatment of psychiatric problems. Not all patients leave the hospital initially with the consent of their attending physicians. Sometimes the decision to sign out of the hospital against medical advice is
A F, GREENWALD, L H, BARTEMEIER
openaire   +2 more sources

Hospital Discharges Against Medical Advice

Archives of General Psychiatry, 1963
Introduction This paper reports a follow-up study of patients discharged against medical advice from the psychiatric inpatient service of the University of Chicago Clinics. The 32 patients in the study group left the hospital over the 2-year period, Sept. 1, 1957, through Aug. 31, 1959.
G G, MEYER, P M, MARGOLIS, R S, DANIELS
openaire   +4 more sources

Discharge against Medical Advice

Tropical Doctor, 2002
An audit of surgical patients who requested discharge against medical advice over a 5 year period (July 1996–July 2001) at the University of Benin Teaching Hospital showed that 78 patients (66 males and 12 females) were involved. The age range was 3 days to 85 years (mean 37.86 years). The 21–40 age group was the most involved.
openaire   +2 more sources

Hospitals as a ‘risk environment’: An ethno-epidemiological study of voluntary and involuntary discharge from hospital against medical advice among people who inject drugs

Social Science and Medicine, 2014
People who inject drugs (PWID) experience high levels of HIV/AIDS and hepatitis C (HCV) infection that, together with injection-related complications such as non-fatal overdose and injection-related infections, lead to frequent hospitalizations. However,
Ryan Mcneil, Will Small, Evan Wood
exaly   +2 more sources

Discharge Against Medical Advice: The Causes, Consequences and Possible Corrective Measures [PDF]

British Journal of Hospital Medicine (London, England: 2005)
Patients who discharge themselves against medical advice (DAMA) comprise 1-2% of hospital admissions. DAMA is defined as when a hospitalised patient chooses to leave the hospital before the treating medical team recommends discharge.
Laura Machin
exaly   +2 more sources

Emergency department discharges against medical advice

The Journal of Emergency Medicine, 1992
A retrospective chart review was performed on 52 consecutive discharges against medical advice (AMA) from an emergency department. The study's objective was to assess documentation of the medical record as well as the patients' perceptions of their experience. Sixty-seven percent of the charts reflected the competence of the patient.
D, Dubow, D, Propp, K, Narasimhan
openaire   +2 more sources