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Article: Who should be admitted to hospital? Evaluation of a screening tool

TitleWho should be admitted to hospital? Evaluation of a screening tool
Authors
KeywordsPatient selection
Reproducibility of results
Health services misuse
Hospitalization
Patient admission
Issue Date2008
Citation
Hong Kong Medical Journal, 2008, v. 14, n. 4, p. 273-277 How to Cite?
AbstractObjective: To develop a tool for evaluating the appropriateness of acute hospital admissions in Hong Kong and test its reliability. Design: The tool was based on the Appropriateness Evaluation Protocol and consensus of local Emergency Medicine specialists. Reliability was tested through retrospective chart review. Setting: Tertiary teaching hospital, Hong Kong. Patients: Seventy-five randomly selected patients, who were admitted to the specialty of Internal Medicine or General Surgery via the Accident and Emergency Department in 2006, were reviewed. Main outcome measures: The intra-rater and inter-rater agreement on appropriateness of an admission. Results: A 19-criterion protocol for assessing the appropriateness of acute hospitalisations was constructed. The kappa coefficient for intra-rater agreement was 0.73 (95% confidence interval, 0.58-0.88) and that for inter-rater agreement was 0.67 (95% confidence interval, 0.51-0.83). Conclusion: The new protocol was shown to have substantial reliability for evaluating whether an acute hospital admission was appropriate. The findings in this study provide a basis for testing the validity of the new protocol as well as determining the extent of inappropriate acute hospital admissions in Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/209450
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorLeung, LP-
dc.contributor.authorFan, K.L.-
dc.date.accessioned2015-04-21T07:49:21Z-
dc.date.available2015-04-21T07:49:21Z-
dc.date.issued2008-
dc.identifier.citationHong Kong Medical Journal, 2008, v. 14, n. 4, p. 273-277-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/209450-
dc.description.abstractObjective: To develop a tool for evaluating the appropriateness of acute hospital admissions in Hong Kong and test its reliability. Design: The tool was based on the Appropriateness Evaluation Protocol and consensus of local Emergency Medicine specialists. Reliability was tested through retrospective chart review. Setting: Tertiary teaching hospital, Hong Kong. Patients: Seventy-five randomly selected patients, who were admitted to the specialty of Internal Medicine or General Surgery via the Accident and Emergency Department in 2006, were reviewed. Main outcome measures: The intra-rater and inter-rater agreement on appropriateness of an admission. Results: A 19-criterion protocol for assessing the appropriateness of acute hospitalisations was constructed. The kappa coefficient for intra-rater agreement was 0.73 (95% confidence interval, 0.58-0.88) and that for inter-rater agreement was 0.67 (95% confidence interval, 0.51-0.83). Conclusion: The new protocol was shown to have substantial reliability for evaluating whether an acute hospital admission was appropriate. The findings in this study provide a basis for testing the validity of the new protocol as well as determining the extent of inappropriate acute hospital admissions in Hong Kong.-
dc.languageeng-
dc.relation.ispartofHong Kong Medical Journal-
dc.subjectPatient selection-
dc.subjectReproducibility of results-
dc.subjectHealth services misuse-
dc.subjectHospitalization-
dc.subjectPatient admission-
dc.titleWho should be admitted to hospital? Evaluation of a screening tool-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid18685159-
dc.identifier.scopuseid_2-s2.0-49449117202-
dc.identifier.volume14-
dc.identifier.issue4-
dc.identifier.spage273-
dc.identifier.epage277-

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